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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:
ComForCare Home Care of Irving, services and compassionate caregivers help older adults live independently in their own homes and continue to do all the things they love. We do not just assign caregivers to a job. We...
At Orchid Care Homes, our mission is to provide quality senior living through a commitment to high ethical standards and compassionate care. We aspire to create a nurturing and engaging environment where residents...
At SYNERGY HomeCare, a non-medical home care agency, we provide much needed respite and personal care, as well as compassion and companionship for the elderly, or those recovering from illness, surgery, or childbirth and...
Helping Hearts provides best-in-class accessibility and quality of home health care to individuals and families of Nashville. Our clients can be assured of well-trained, compassionate, and empathetic caregivers who are...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Lewisville or in surrounding areas of Denton County. Our trusted Lewisville staff can’t wait to...
Life is Better with Villi of Dallas, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
At Texas Caring Hearts HomeHealth, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
Trusted care means peace of mind. Taking that first step in finding a home care provider can be a stressful decision. With HomeWell Care Services, you know you’re making the right decision.
At Blessed Hearts Care, we believe in delivering care with compassion and purpose. Our dedicated team provides personalized in-home services—from help with daily living to emotional support—so clients can maintain...
Our mission at Home Care Assistance is to change the way the world ages. We provide older adults with quality care that enable them to live happier, healthier lives at home. Our services are distinguished by the caliber...
At Jiireh Healthcare Services, our mission is to deliver compassionate, high-quality, and personalized healthcare that enhances the lives of the individuals and families we serve. Guided by integrity, excellence, and a...
At Brightling Home Care LLC, we prioritize compassionate and professional in-home care that enhances the quality of life for our clients. Our experienced caregivers provide personalized support, from daily living...
Lone Star Home Health Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pinnacle Senior Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Oasis Healthcare Services, our mission is to provide quality care to adults and seniors within our community without losing their independence and at the same time maintaining their dignity within the comfort of their...
At SeniorBridge, we’re passionate about helping families and loved ones find solutions that make life better and give you greater peace of mind. Since 2000, we’ve been providing comprehensive home care solutions,...
Aetna home health and management inc. is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vizzit Home Health Care Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
St. Judes Home Health Agency is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anders Group, LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Right at Home - Irving, TX is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ideal Home Health Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kingly Home Health Care Incorporated is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MERCY HOME CARE AGENCY LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Focused on helping you or your loved ones remain safe and independent in their familiar surroundings, in-home care includes professional services ranging from companionship to skilled nursing*. Our experienced and...
Divine Mercy Home Health Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrity Home Health Care Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Icone Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our goal is to enhance our clients comfort and quality of life in a 24-hour support setting, allowing them as much control over their social and physical surroundings as possible. We strive to build long-lasting...
Vcp Home Health Care Agency Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Good Shepherd Health Care Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Omni Home Health Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amber Home Health Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Everest Home Health Care Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Devine Home Health Agency is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precision Home Health Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Patterson Path Health Care LLC is a home care provider that services Irving, TX 75039. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
Jessnic Home Health Agency Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Deltacare Home Health Service LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Providing Care focuses on making sure that your loved one is valued and taken care of. We provide high quality care from assistance of activities of daily living to companion care.
C & C Caring Hands is proud to provide a high quality level of customer service, medical experience, and commitment to health and wellness to all our patients. Our experienced professionals put your healing needs first....
Keystone Healthcare, Inc. is a home health agency based in Richardson, Texas. It provides a variety of in-home health care services, including skilled nursing, physical therapy, occupational therapy, speech therapy,...
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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.