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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.*
✔
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 in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Denton and surrounding areas. Our trusted Denton staff can’t wait to meet your loved one. We want...
Always Family provides quality elder care solutions that serve all of your loved one’s care needs. Our mission is to make the care experience easier for families by managing the entire process right from the very...
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...
Specialty Care FirstLight’s specialized in-home care services allow seniors and other adults to get the support they need in a comfortable, familiar setting. Whether caring for veterans, adults with disabilities, or...
Holistic Plus Home Care Services is dedicated to providing compassionate, personalized care for individuals in the comfort of their own homes. We believe in a holistic approach that addresses not just physical needs, but...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
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...
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.
Approved Home Care is known for providing compassionate and personalized in-home care, helping clients maintain their independence and quality of life. Their dedicated caregivers offer a wide range of services, ensuring...
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...
Sean McLeod, owner of Amada Senior Care in Denton and Frisco, knows through the experiences of loved ones (as both a care provider and a care recipient) that quality care affects not only a patient, but also his or her...
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 Pride Home Health Care LLC, our mission is to provide compassionate, high-quality, and personalized home health care services that enhance the well-being, dignity, and independence of every client we serve. We are...
At Comfort Givers Home Care LLC, we prioritize compassionate and reliable in-home care, fostering independence and enhancing well-being. Our dedicated caregivers provide personalized support, from assistance with daily...
Our team of Caregivers will work with you to fully understand your loved one’s needs and make the best decisions for their quality of life and peace of mind. We are one of the nation’s leading providers of senior care and...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
The mission of Aspen Healthcare Services, Inc. is to provide compassionate quality care meeting the comprehensive needs of the patient whose care can be safely and effectively managed in the home care environment without...
Goshen Healthcare & Hospice LLC is a home care provider that services in Lewisville, 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,...
GOSHEN HEALTHCARE SERVICES LLC is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Amore Home Health Services, we understand the importance of receiving quality care in a familiar environment. Our team of skilled professionals is dedicated to delivering comprehensive home health services that support...
Right at Home - Lewisville, TX is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Attentive Primecare Home Health is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
THE POTTERS HEALTHCARE SERVICES is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Physicians Choice Health Services is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Grace Home Health Agency Inc is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
Jakpa Health Care Inc is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maximus Care LLC is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Instead - Lewisville, TX is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Home Health Agency is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Reality Health Care is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
North Texas Home Care is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A 1 Home Care is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Potters Healthcare Services is a home care provider that services in Lewisville, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care 4 Seniors was established in 2007 by Laila and Mike Madhani. Laila is a Board Certified, Family Nurse Practitioner and Mike has an Information Technology and Business background. The combination of their talents...
Glow Healthcare Solutions Incorporated is a home care provider that services in Lewisville, TX. 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...
There is no higher priority to our NolasHands Family than the safety of our clients and caregivers. We aim to keep all of you out of harm's way and to support you through this challenging time.
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....
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Artwing Healthcare Solutions is a licensed non-medical staffing agency, providing the highest quality and compassionate personalized in-home care for our clients in all counties across the Dallas Metroplex, NorthTexas,...
Comfort Keepers is the leading provider of customized home care services for Carrollton, Coppell, Lewisville, Flower Mound, Farmers Branch, and Addison. Our independently owned and operated Carrollton office provides...
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,...
At Griswold Home Care of Plano, our mission is to provide outstanding home care services from outstanding caregivers. Griswold Home Care allows seniors to stay in the home that they love, while maintaining their...
Senior Helpers of Richardson offers companion care, personal care, and chronic disease care to seniors in the Greater Dallas area. We help you to decide what care service is best for your loved one and family and...
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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.