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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:
Tamela Fletcher opened the Senior Helpers Fairfax office to provide high-quality personalized senior care in the Fairfax and surrounding communities. Tamela recognizes the positive impact that Senior Helpers has on the...
Mehr Home Care, LLC, Compassionate In-Home Care Services At Mehr Home Care, LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our...
Adonai Home Care Services is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Faith Compassion Home Care is owned and operated by compassionate individuals that are following their true calling in life: to serve and care for others! We get satisfaction from serving our patients in their homes...
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.
Your Caring Team consists of quality caregivers, care managers, and an agency director. Caregivers are the backbone of Caring Senior Service. We only hire caregivers that display a true passion for serving others and who...
We work to perfect our care giving process. Our caregivers makes it possible for the old or needy person to maintain as much freedom as possible. By providing the suitable in-home companionship and assistance, we allow...
Established to meet the growing needs of families in 1998, Medical Professionals On-Call is a home care service provider servicing Fairfax, Virginia and its’ surrounding areas. As experience home care providers, we offer...
Herewith is a mobile and online platform for families to find, hire, and manage flexible, affordable in-home care for older adults. Unlike an agency, on Herewith there are no hourly minimums or subscriptions, you set your...
Home Care Solutions Tailored For You Personalized Attention for All Your Health Related Needs If you or your loved ones are facing health problems, temporary or chronic, it may be time to reach out for help. At Indigo...
ComForCare Home Care - Fairfax, VA is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are located in the heart of Tysons Corner, providing home care in McLean, Virginia, as well as in Falls Church, Fairfax, and Vienna. Safe and Secure Transition Home Care LLC is a private pay agency that aims to provide...
KerriCare is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Centric Home Care, LLC is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
How important is peace of mind? We think it’s everything. Sunshine On The Go provides the peace of mind that comes with knowing your caregiver will be there when needed. Our in-home care service offers personalized care...
Griswold Home Care was founded in 1982 by Jean Griswold, diagnosed with MS and wife of a Presbyterian minister, after the tragic loss of one of her parishioners due to dehydration during an ice storm. We help your loved...
It's about caring, not just health care™. We make it possible for seniors to live in their own home. Nurse Next Door home care’s extraordinary family of Caregivers can take care of your loved one so you can get back to...
When you choose Steadfast Home Care Services as your care provider, you can be rest assured you will be treated like family! We are here to make your lives easier. Giving you peace of mind knowing that your loved one is...
We know you can’t be everywhere. Advanced Senior Care Services provides professional care the same attention to detail you would give if you were able to be with your loved one full-time. We offer a range of services...
HomeCare.com does not employ or recommend any care provider. HomeCare.com provides technology and tools to help families and Caregivers connect with each other. Each individual is solely responsible for selecting a care...
Every individual, regardless of age or health status, deserves an opportunity to make the most out of his or her life. We are here to provide these opportunities to elderly patients as well as well as those recovering...
Our Quality Care Makes the DifferenceQuality HomeCare Solutions is there to help whether you are looking for visits, hourly help or 24-hour live- in care. Our highly experienced and compassionate caregivers make a...
If you or your loved ones are facing health problems, temporary or chronic, it may be time to reach out for help. At Indigo Nursing Services, we provide professional, reliable and effective home care and are your number...
Brightsteps Homecare is a trusted non-medical in-home care agency based in Virginia, dedicated to providing personalized support and assistance to individuals in the comfort of their own homes. With a compassionate team...
Wellness and Kindness Healthcare LLC is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passion Home Health was started by Marie & Violet, both RN's after many years in health care when they felt the could provide a better style of family care service in the No. VA areas.
e are located in the heart of Tysons Corner, providing home care in McLean, Virginia, as well as in Falls Church, Arlington, Alexandria, Fairfax, Springfield, Burke, Centreville, and Vienna. Safe and Secure Transition...
Options for Senior America Prince William County is a home care provider that services in Mc Lean, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell Care Services, we provide hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable Care Managers...
Hallmark Home Care -Northern Virginia, Compassionate In-Home Care Services At MedPro Solutions DBA Hallmark Homecare, we are committed to providing high-quality, non-medical in-home care services that prioritize...
Ready 2 Serve Home Healthcare LLC is a locally-operated home health care agency servicing Alexandria, Virginia, and the surrounding counties. We specialize in rendering medical and non-medical care to our patients who are...
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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.