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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.
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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:
At Angels at Home, our mission is to provide compassionate, personalized, and professional in-home care services that enhance the lives of individuals who require assistance due to age, illness, or disability. We are...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Interim Healthcare of Locust Grove, GA is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our agency caregivers offer personal care,custodial care, and non-skilled nursing care to assist seniors who prefer to remain in the comfort of their home. For over five years, this family owned business have served...
Our Non-Skilled Care services enable us to respond to basic activities of daily living including bathing, dressing, mobilization, turning, eating. At Exceed Care, LLC, we offer around the clock medical home care services...
Care Wind Place, Inc is a home care provider that services in Middle, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
Three Rivers Home Health Services, Inc is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American Homecare & Medical Services, LLC has a staff of highly skilled nurses with over 15 years experience in homecare, acute care and long term care. We provide quality and affordable care to clients as an effort to...
Tailored2Care Home Care, LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EXPRESS HOME CARE, LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Interim HealthCare of Locust Grove, Macon and Savannah, we know how important it is to be in a comfortable, familiar environment. We all value our independence, however, sometimes the best way to maintain our autonomy,...
🌟 Life and Living Companion Care LLC - Your Trusted Partner in Macon, Georgia 🌟 Are you or a loved one in need of compassionate, reliable, and professional in-home care? Look no further! Life and Living Companion...
At Amazing Grace Personal Care Services Inc., our mission is to provide unparalleled, compassionate care that enhances the quality of life for every individual we serve. We are dedicated to delivering personalized support...
Central Georgia Home Health is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARING COMPANIONS INC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of Macon is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care of Georgia is a trusted homecare agency dedicated to providing high-quality, personalized care services that allow individuals to live comfortably and independently in their own homes. Our compassionate team of...
Key of Life is the most reliable and trustworthy Home Health Care Service the Central Georgia area — providing excellent home care solutions to patients who are dealing with injury or illness. We are committed to meeting...
SHEPARDS DEN PRIVATE HOME CARE SERVICE LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BRIGHTER PATHS LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wellness Link Healthcare Services, LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caresouth Homecare Professionals is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lillie’s Helpers Homecare was established to assist anyone needing a helping hand. You may need activities of daily living/concierge, skilled nursing, or a companion. You may even be adult children of aging parents who...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Summary Description Why Choose Us? Beyond providing exceptional services, we embrace each client as a cherished member of our extended family. Our commitment goes beyond mere assistance; it's about creating a warm,...
AccordCare was founded in January 2020, formed from three outstanding, caring companies coming together; Accord Services, A Hand To Hold, and Allegiant Home Care. All companies are dedicated to serving clients wanting to...
Tailored2Care Home Care, LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Clear Path Nursing Agency LLC is a home care provider that services in Macon, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Stay where you are. Let our caring, knowledgeable, and skilled staff come to you. 24Seven Accessible Care provides a wide range of high-quality home health care services in the comfort of your own home. From...
At Warm Heart Caring LLC, our mission is to deliver compassionate, high-quality, and personalized care that enhances the lives of those we serve. We are committed to providing exceptional home care and support services...
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...
AABBITT is dedicated to enhancing the quality of life for Seniors and individuals with disabilities within Georgia and Wisconsin. As an in-home care provider, we offer a range of comprehensive support services designed to...
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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.