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.
✔
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:
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
Home Instead - Winnetka, CA is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care in San Fernando Valley is a premier provider of non-medical, private duty home care services. We assist people with the activities of daily living in any setting, whether it be a private residence,...
Every Northwest Valley family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy...
Senior Helpers of Granada Hills, CA is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Our team of dependable, compassionate and trustworthy caregivers at Caring Angels Home Care, LLC. assists clients of all ages with non-medical home care needs. We are focused on providing exceptional In-Home services with...
At Griswold, care is personal, and we’ll work with you to create a care plan that best meets your needs, including companionship, homemaking, and personal care. We support those with certain conditions, illnesses, or...
As loved family members age, it can become increasingly difficult to provide them with the attention and care they require. Homewatch CareGivers of Northridge understands these challenges and has been providing...
Perfect Fit Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Amada Senior Care team in San Fernando Valley is dedicated to going beyond basic home-care by gaining a deep understanding of clients and their individual needs so that they can make a truly positive impact on their...
At Interim HealthCare of Chatsworth, we understand how important it is to have someone you can depend on when you or someone you love wants to stay at home to maintain the highest level of health and independence. That's...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
We are committed to provide unmatched services for the elderly in the comfort of their own home! Since 2011, we have been serving the LA area with the top quality homecare you can find!
FirstLight Home Care of Santa Clarita, CA (353) is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ARF is a national provider of home care and staffing services with over 30 years of experience and dedication to enhancing quality of life for others. We are proud of our compassionate home care program designed to...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Home Care Placement is a local, privately owned in-home care, placement, and care management agency. Our mission is to provide a compassionate, world-class customer service experience to our patients and clients. Our...
Majesty Home Health is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calipso Home Health Care Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amity Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Remedy Home Health Care is a trusted Home Medical Agency serving the Los Angeles area. Our practitioners provide the best home health care services and cater to the specific needs of each client. We bring high quality...
Golden Age Home Healthcare, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bright Star Home Health Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Holistic Care Options, Inc. provides top quality in-home care to support and promote wellness for individuals, families, and communities in Southern California. Most families are struggling with the idea of their loved...
Integrity Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primrose Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Metro Home Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bona Vita Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vista Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dream Home Health Care, Inc. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blue Sky Home Health Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mobility Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quest Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Home Care Services provides caregiver to adults and individuals that needed care and assistance with their activities of daily living ( Basic A.D.Ls), such as eating, bathing, dressing, toileting, transferring...
Tita Guest House is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisted Healthcare Services is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPLICATEA Place at Home-Northwest Valley is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAREGIVERS' TEAM CORP. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisted Home Care is a home care provider that services in Northridge, CA. 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...
Ease of Mind Hospice is a home care provider serving Tarzana, CA 91356. Our services enable seniors to stay safely in their own homes while receiving medical care or assistance with personal tasks. We offer a range of...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
We provide professional, affordable, and caring in-home living assistance for seniors in the Ventura County and Los Angeles County area. We are committed to providing high quality, client-centered and affordable Home Care...
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
Home Instead - Winnetka, CA is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care in San Fernando Valley is a premier provider of non-medical, private duty home care services. We assist people with the activities of daily living in any setting, whether it be a private residence,...
Every Northwest Valley family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy...
Senior Helpers of Granada Hills, CA is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Our team of dependable, compassionate and trustworthy caregivers at Caring Angels Home Care, LLC. assists clients of all ages with non-medical home care needs. We are focused on providing exceptional In-Home services with...
At Griswold, care is personal, and we’ll work with you to create a care plan that best meets your needs, including companionship, homemaking, and personal care. We support those with certain conditions, illnesses, or...
As loved family members age, it can become increasingly difficult to provide them with the attention and care they require. Homewatch CareGivers of Northridge understands these challenges and has been providing...
Perfect Fit Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Amada Senior Care team in San Fernando Valley is dedicated to going beyond basic home-care by gaining a deep understanding of clients and their individual needs so that they can make a truly positive impact on their...
At Interim HealthCare of Chatsworth, we understand how important it is to have someone you can depend on when you or someone you love wants to stay at home to maintain the highest level of health and independence. That's...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
We are committed to provide unmatched services for the elderly in the comfort of their own home! Since 2011, we have been serving the LA area with the top quality homecare you can find!
FirstLight Home Care of Santa Clarita, CA (353) is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ARF is a national provider of home care and staffing services with over 30 years of experience and dedication to enhancing quality of life for others. We are proud of our compassionate home care program designed to...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Home Care Placement is a local, privately owned in-home care, placement, and care management agency. Our mission is to provide a compassionate, world-class customer service experience to our patients and clients. Our...
Majesty Home Health is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calipso Home Health Care Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amity Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Remedy Home Health Care is a trusted Home Medical Agency serving the Los Angeles area. Our practitioners provide the best home health care services and cater to the specific needs of each client. We bring high quality...
Golden Age Home Healthcare, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bright Star Home Health Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Holistic Care Options, Inc. provides top quality in-home care to support and promote wellness for individuals, families, and communities in Southern California. Most families are struggling with the idea of their loved...
Integrity Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primrose Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Metro Home Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bona Vita Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vista Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dream Home Health Care, Inc. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blue Sky Home Health Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mobility Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quest Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Home Care Services provides caregiver to adults and individuals that needed care and assistance with their activities of daily living ( Basic A.D.Ls), such as eating, bathing, dressing, toileting, transferring...
Tita Guest House is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisted Healthcare Services is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPLICATEA Place at Home-Northwest Valley is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAREGIVERS' TEAM CORP. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisted Home Care is a home care provider that services in Northridge, CA. 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...
Ease of Mind Hospice is a home care provider serving Tarzana, CA 91356. Our services enable seniors to stay safely in their own homes while receiving medical care or assistance with personal tasks. We offer a range of...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
We provide professional, affordable, and caring in-home living assistance for seniors in the Ventura County and Los Angeles County area. We are committed to providing high quality, client-centered and affordable Home Care...
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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.