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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:
Harvest In-HomeCare Inc. - Plainfield, IL is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
VCARE LLC, IL is a home care provider that services West Chicago, IL 60185. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
Samaritan Senior Care is a licensed elderly home care provider with over ten years of experience. Our compassionate caregivers assist elders in maintaining independence and offer comfort to family members who might...
Whether you need Senior Helpers' assistance 24/7 or just a few hours a day, our offices are here to help with flexible service options. We provide professional and compassionate in-home care so that our seniors can age...
Leverage Home Care Services offers compassionate companion care to enhance well-being through emotional support and social interaction. Our caregivers provide meaningful conversations, accompany clients on transitions,...
Home & Hearth Caregivers is available 24/7 for you or your loved one. We serve Cook, DuPage, Kane, Kendall, Lake, McHenry and Will counties. Our experienced Care Plan Managers will be happy to provide a complimentary home...
Homewatch CareGivers of Naperville offers specialized non-medical home care services to clients of all ages including seniors, the disabled, and all others needing assistance to maintain their quality of life.
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
Introduction We Offer Independence Alpha Angel is dedicated to enhancing the quality of life for seniors and disabled individuals. We specialize in providing in-home care services that encompass a wide range of...
Access Care, LLC is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seva Senior Home Care Services’ trained, experienced caregivers provide non medical home care and companion services that make client’s lives easier and help retain their independence. All of our caregivers are...
Elite Care At Home, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homewatch CareGivers of Naperville, IL is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care of Naperville, IL is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greatland Home Health Services, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Turning Point Home Health, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
After Care Home Health, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Reliance Home Health Caregivers of Naperville, IL is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Care Home Health Services Llc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Residential Home Health is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpha Nursing Care is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Naperville, IL is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carelink Health Services, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Essential Homecare Service, LLC is dedicated to providing compassionate, high-quality home care services tailored to meet the unique needs of each individual.
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,...
We Are Comfort Keepers Comfort Keepers provides award-winning in-home care for seniors and adults who need assistance at home. Our expert-trained home care aides let your loved one remain at home for as long as safely...
Residential Home Health of Illinois is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care of Naperville is among the best in home care today. We only hire caregivers who are really passionate about their jobs. We make sure all our caregivers are properly trained and have undergone...
If you want to know how best to maintain your independence or that of your loved one, request an in-home care service evaluation. A trained professional from ComForCare Home Care will visit the home for a personalized...
Assisting Hands® of Naperville, IL is a non-medical home care company with a strong emphasis on customer service. We provide exceptional in-home care to people who are elderly or have special needs. We Provide FREE...
Vital Wellness Home Health, Inc is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tender Loving Care Healthcare Services Midwest, Ll is a home care provider that services in Naperville, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Adaptive Homecare Solutions, Inc of IL is a home care provider that services in Naperville, IL. 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...
Senior Life Solutions takes pride in being able to offer customized care delivered with consistent quality for Seniors living at home. When seniors are unable to fully care for themselves, it can be a very emotionally...
HOME CARE AND MEDICAL STAFFING IN NAPERVILLE / SOUTH DUPAGE, IL Empowering People to Live Their Best Lives BrightStar Care® of Naperville / South DuPage, IL offers in-home care and medical staffing that goes above 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.