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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:
Our family owned company was established in 1989 in New Britain, CT as Bright Cleaning Services with the intentions of providing housecleaning services in central Connecticut – Newington, Middletown, Avon, Glastonbury and...
Some services provided : Companionship: Providing social interaction and emotional support to combat loneliness or isolation, including conversation, engaging in hobbies, and accompanying clients on...
HomeWell is committed to helping people live life more fully. With a highly personalized care management approach, our agencies strive to provide exceptional care in the place where clients feel most comfortable.
Mercy Home Health Inc. is a home care provider that services in Hartford, CT. 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...
Homewatch CareGivers of Windsor was founded on the idea that your loved one deserves to be treated with kind, compassionate care that is tailored to their unique needs, and in their preferred surroundings. That’s why we...
There’s a reason why Unity Home Care LLC, is a leading provider of homecare in Farmington, Connecticut, and that’s simply because we truly care for you! Elderly, injured, ill, and the disabled—we make every high-quality...
Our experienced and compassionate caregivers at BrightStar® Home Care Hartford provide everything from companionship and help with errands and light housekeeping to personal care services like assistance with bathing,...
Pioneer Family Homecare is your family’s trusted non-medical homemaker and companion Agency. The leader in providing personal in-home quality care solutions and services to seniors and disabled adults.
The mission of CareCo Shoreline is to provide comprehensive, compassionate, and customized in-home services designed to help individuals remain in their homes, safe and strong.
Our vision is simple: we aim to be the leading provider of home care services. By providing personalized, compassionate support, we help our clients live with dignity and peace of mind. Reach out to us today to discuss...
AFI Healing Hands International LLC is a dedicated home care agency committed to providing compassionate and high-quality care to individuals in need of assistance with daily living.
To be the leading provider of compassionate, personalized home care services in Connecticut, enriching the lives of our clients and their families through exceptional care, innovative solutions, and unwavering commitment...
At H0PE ALIVE HOME CARE AND COMPANION, we’re dedicated to providing the support needed to ensure your loved ones receive the quality care and quality of life they deserve.
A & B Homecare Solutions - New Haven is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home care services in Middletown, CT are essential for those who require assistance with daily activities but want to maintain their independence and remain in the comfort of their own home. At Home Helpers in Middletown,...
Avery Heights Home Health Agency is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Urban Nursing & Community Care, LLC is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifestyle Home Care Services provides compassionate, personalized in-home care for seniors and individuals needing assistance. Our trained caregivers support daily activities, promote independence, and enhance quality of...
Aiming Higher is dedicated to providing in home care that will allow you to age gracefully at home with dignity and pride. See how we can make independent living easier for you.
Ashantias Transportation LLC is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Masonicare Partners Home Health and Hospice, Inc is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
VNA Health Care, Inc is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
One Health Care is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Caring Heart Home Services was founded in 2017 with a vision of providing a holistic approach to care. To achieve this goal, we have put together a team of reliable, well-trained caregivers who share the same vision of...
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...
Senior Helpers - Fairfield, CT is a home care provider that services in Hartford, CT. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.