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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:
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
Absolute Caregiving LLC provides exceptional in-home care services tailored to the needs of seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and...
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Companion Care The goal of companion care is primarily emotional support, socialization, caregiver assistance, light housekeeping, and companionship to help senior and elderly adults function independently in their own...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
Sigma Personal Care LLC offers personalized in-home care services tailored to meet the needs of seniors and individuals requiring assistance. Our compassionate caregivers focus on promoting comfort, independence, and...
Promising Touch is a homecare agency that provides in-home companionship care. We strive to ensure our clients are taken care of with the highest quality of care there is!
Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
At CARE CONCIERGE HOME SERVICES LLC, we prioritize dignity, respect, and comfort, ensuring that every client receives the highest level of care tailored to their lifestyle.
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
"A Safe Haven Homecare Services: Your trusted refuge for personalized, compassionate care. Dedicated to enhancing quality of life and providing a safe haven for seniors in the comfort of their own homes."
SLH Indiana Care LLP provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Reminisce personal Home Care Indianapolis provides Home care services to elderly, senior citizens and adults with disabilities that allows them to live safely and independently at home. We provide our Home Care services...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
HigherCareHaven.org is a nonprofit organization focused on providing support, resources, and services to individuals and families impacted by addiction and mental health challenges. They aim to create a community of care...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
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...
Oasis of Love Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to individuals in need.
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health.
NZURI Horizons Home Care LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exceptional Residential Services Inc. is a trusted provider of high-quality, person-centered residential care. Specializing in delivering compassionate and individualized support for adults with developmental...
Triple Point Care LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amana Personal Services Agency, LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are the leader of compassionate, loving care for seniors and those with disabilities. Our service enables seniors to live independently in the privacy and comfort of their own home.
FLORENCE KAY LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
OASIS CARE LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First Priority Home Care, LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
Absolute Caregiving LLC provides exceptional in-home care services tailored to the needs of seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and...
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Companion Care The goal of companion care is primarily emotional support, socialization, caregiver assistance, light housekeeping, and companionship to help senior and elderly adults function independently in their own...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
Sigma Personal Care LLC offers personalized in-home care services tailored to meet the needs of seniors and individuals requiring assistance. Our compassionate caregivers focus on promoting comfort, independence, and...
Promising Touch is a homecare agency that provides in-home companionship care. We strive to ensure our clients are taken care of with the highest quality of care there is!
Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
At CARE CONCIERGE HOME SERVICES LLC, we prioritize dignity, respect, and comfort, ensuring that every client receives the highest level of care tailored to their lifestyle.
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
"A Safe Haven Homecare Services: Your trusted refuge for personalized, compassionate care. Dedicated to enhancing quality of life and providing a safe haven for seniors in the comfort of their own homes."
SLH Indiana Care LLP provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Reminisce personal Home Care Indianapolis provides Home care services to elderly, senior citizens and adults with disabilities that allows them to live safely and independently at home. We provide our Home Care services...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
HigherCareHaven.org is a nonprofit organization focused on providing support, resources, and services to individuals and families impacted by addiction and mental health challenges. They aim to create a community of care...
Daily Care LLC is a compassionate and reliable service provider dedicated to enhancing the quality of life for individuals through personalized care solutions. Specializing in non-medical home care services, Daily Care...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
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...
Oasis of Love Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to individuals in need.
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health.
NZURI Horizons Home Care LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exceptional Residential Services Inc. is a trusted provider of high-quality, person-centered residential care. Specializing in delivering compassionate and individualized support for adults with developmental...
Triple Point Care LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amana Personal Services Agency, LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are the leader of compassionate, loving care for seniors and those with disabilities. Our service enables seniors to live independently in the privacy and comfort of their own home.
FLORENCE KAY LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
OASIS CARE LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First Priority Home Care, LLC is a home care provider that services in Noblesville, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
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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.