Are you sure you want to exit? Your progress will be lost.
Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
Share a few details and we will match you to trusted home care in your area:
Comfort Keepers is here to help seniors thrive safely while living independently at home. Our empathetic caregivers are specially trained to provide uplifting care, transportation and support. From driving to doctor’s...
Complete Homecare of America Inc. is locally owned and operated and located in Greenville, SC. You or your loved one will get the same experienced caregiver, day-after-day, week-after-week. We have an RN on staff that...
Senior Helpers has been caring for seniors throughout the Greenville area since 2008. Owner Courtney Bohman and her staff of well-trained professional caregivers provide a variety of senior services that allow seniors to...
Greenville's Trusted Quality In-Home Senior Care Provider! Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the...
Committed to returning you and your loved one to a healthier way of living. Restoration Path Home Care Services ensures high-quality, client-focused home care throughout the state of South Carolina. Our clients who...
Angelic Hearts Homecare Agency LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We hold our in-home caregivers to the highest standards. Learn what sets us apart from the rest. Our mission, vision, values, and training have allowed us to shine above the rest. We believe everyone should have the...
365 CARE FOR YOU STAFFING & HOME CARE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ATTENTIVE CARE SERVICES LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUplicate REACHING YOUR POTENTIALS HOME CARE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hands Homecare Services LLC. is an in-home care agency that is a local & family owned business located in Greenville, SC. We provide non-medical companion in-home care/caregiving with a variety of services...
HomeWell Care Services of Greenville, SC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
BRIGHT ARISING HOME CARE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
GUARDIAN ANGELS OF THE UPSTATE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GENEVA ANGELS LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DYNASTY HOME CARE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Circle Of Life Divine Care Services LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care offers help for you or your loved ones around the home. We provide full companion and personal care services for the elderly, new mothers, people recovering from surgery, or people who are in need of...
We hold our in-home caregivers to the highest standards. Learn what sets us apart from the rest. Our mission, vision, values, and training have allowed us to shine above the rest. We believe everyone should have the...
ANGELS TOUCH HHS LLC of Greenville, SC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carolina Home Health, Inc is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Essentially Preferred Home Care Services is South Carolina's trusted partner in non-medical, personalized in-home care solutions. With a commitment to enhancing the quality of life for every client, we offer a range of...
Greenville Hospital System HHA is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
ASTONISHING ANGELS HOMECARE LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Abiding Grace Home Healthcare, we are fueled by a vision to transform healthcare and provide exceptional service because we believe that every individual deserves the highest quality of care. We are a Christian based...
At Good People Home Care, our mission is to provide compassionate and reliable in home care services to our clients. We strive to improve their quality of life and help them maintain independence in the comfort of their...
ALLEGIANT QUALITY HOME CARE LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Heart of the Carolinas LLC, we pride ourselves on our dedication to customer satisfaction, transparency, and integrity in all aspects of our operations. Whether it's routine maintenance, diagnostics, repairs, or...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
AFT Home Care provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily living tasks, ensuring comfort, independence, and safety, while enhancing the overall well-being of...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Advanced Angels LLC, SC is a home care provider that services Greenville, SC 29607. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
Professionalism is the hallmark of our service. Our personal care aides complete extensive training programs covering many of the issues that affect health and safety in retirement: fall safety, nutrition, infection...
ACCESS HEALTH CARE SERVICES INC OF GREENVILLE is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate leader and seasoned healthcare professional, Sandi, brings a wealth of knowledge and expertise to Assisting Hands, a premier homecare franchise dedicated to delivering exceptional client-centered care. With...
Homewatch CareGivers of Greenville is dedicated to providing exceptional in-home care services tailored specifically to meet the unique needs of each client. Our team of compassionate and skilled caregivers is committed...
Divine Hearts HomeCare, LLC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Greenville or in surrounding areas like Berea, Mauldin, or Taylors. Our trusted Greenville staff...
All Ways Caring Home Care - Greenville, SC is a home care provider that services in Greenville, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
We are headquartered in Greenville, and are a Christian-based, non-medical homecare agency providing support services directly to clients in the comfort of their home. Our services include personal hygiene, medication...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
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One of our advisors will contact you soon to connect you with trusted sources for care in your area.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.