Are you sure you want to exit? Your progress will be lost.
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:
Personal Care focuses on hands-on assistance with daily tasks like bathing, dressing, and eating, while Companion Care emphasizes social interaction, emotional support, and light household tasks.
When you or your loved one need help at home, turn to FirstLight Home Care. We offer complete companion care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance....
We believe seniors deserve to choose how, when, and where they receive care. We understand true comfort comes when people feel seen and understood. Our process is to put you and your loved one in the center.
MN Independent Living Services, Inc. specializes in providing compassionate and reliable in-home care tailored to individuals' unique needs. Whether recovering post-surgery, managing physical disabilities, or requiring...
At Homewatch CareGivers of Eden Prairie, we understand the profound importance of compassionate care and the difference it can make in your loved one's life. Our dedicated team is committed to providing professional and...
At Senior Helpers, we are here to help anyway we can to help you or your loved one live safely at home. Our caregivers receive the highest quality training through online education, hands-on practice in our Center of...
SYNERGY HomeCare of Eagan provides clients with a wide variety of non-medical care options, from companion care and personal care to specialized care for people with chronic health conditions or recovering from illness or...
At Heart of a Star Home Care, we are dedicated to providing compassionate and personalized home care services to the Minneapolis community. Our team is here to support you or your loved one with a range of services...
At ameriCARE Twin Cities North, our caregivers help seniors, veterans, those recovering from surgery, and individuals managing chronic illness thrive in the comfort of their own home.
Healing Holistically Home Heal, MN is a home care provider that services Champlin, MN 55316. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal...
At FirstLight Home Care of Saint Paul, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have...
Amazing Care Agency LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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'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...
Our office is co-owned and operated by Paul and Laurie Barthol, and Tanya and Jeff Ferber. At Senior Helpers South Minneapolis our primary goal is to help provide a high quality of life for our clients and their families,...
Cornerstone Caregiving is a senior home care provider in North St Paul that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required. Our...
Around the Clock Home Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With our passionate, dedicated and loving team of professional care providers, Agape HealthCare’s goal is to be the one-stop shop for all healthcare needs. Agape will be an influential and forward-thinking home healthcare...
1ST ATTENTIVE SERVICES LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Things change as we age, but leaving the comfort and security of home doesn’t have to be one of those things. Needing a little help as you age is normal, and our professional caregivers make sure you have all the help you...
American Guardian Angels Services is an American Home Care company dedicated to providing compassionate and personalized home health care aid to individuals in need. Our mission is to enhance the quality of life for our...
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
Alliance Home Health Care & Nursing Services LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bell Medical Services Inc. is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care Home Health Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Plus Home Health Agency is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Homecaring is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABUNDANT LIFE HOME HEALTH CARE is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our experienced and compassionate caregivers and nurses at BrightStar® Home Care St. Paul provide everything from companionship and routine personal care to in-home medical services like wound care, home infusion therapy...
Accel Health Services Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brendas Private Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
alleviaCARE is dedicated to providing seniors with the opportunity of remaining comfortably in their own homes while they receive care. We coordinate all services and care necessary to supply seniors with the healthcare...
ALIMA HEALTH CARE LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ADVOCATE HEALTH CARE SERVICES is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Candor Home Health Care LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brighter Home Health Services is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AXIS HOME PCA AGENCY INC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ambassador Good Sam H C 3400 is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Agapi Health Services LLC is a compassionate and dedicated healthcare provider. The name "Agapi," derived from the Greek word for selfless love, reflects a commitment to care that goes beyond the basics, focusing on the...
Amaraa Services is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aspen Home Healthcare, Inc. Companionship in Brooklyn Park, Minnesota When choosing the right home health care provider, Aspen Home Healthcare, Inc. is the best choice for you! Our cost-effective medical and...
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...
We provide a variety of needed in-home senior care services, like general companionship, light housekeeping, cooking, shopping, transportation to / from appointments or events, medication reminders, fall prevention...
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...
At Ascendcare Home Health Solutions LLC, our mission is to elevate the lives of seniors and individuals with disabilities, empowering them to thrive in the comfort of their own homes. We believe in a holistic approach to...
The Agency’s Mission is to provide professional and paraprofessional services to clients in their homes assisting them to achieve the highest level of potential in their day-to-day self-care activities.
Caring Hands, Healing Hearts! A place where personalized care meets compassionate support for your healing journey. Our dedicated team is committed to ensuring your well-being and comfort every step of the way....
Our mission is to provide superior care to those we serve. We strive to help our clients and their families maintain a physically and mentally stimulating and gratifying lifestyle while maintaining their dignity and...
Wisdom Match is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers - Roseville is a home care provider that services the North Metro Area in the Twin Cities. Our office is owned and operated by Paul and Laurie Barthol, with 15+ years of hiring family caregivers, 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.