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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:
APEX Health Services comprises a team of experts who redefine the continuum of health care model for optimal patient outcomes. We are committed to innovative care models that provide a full spectrum of services evolving...
At FirstLight Home Care of Oak Brook, 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...
Our team of compassionate and empathetic caregivers is committed to delivering care with a heart! They undergo rigorous training and background checks to ensure they are qualified to provide the care you need. We...
In 2019 Susie Murphy started D’Vine Caregivers as a natural extension of her 35 years of excellence in matching nannies and domestic helpers with young families. She now brings her skills and insight in finding and...
Ace-Premier Home Care Services, Inc. offers compassionate and personalized in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
Home Instead of Lisle, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Entera HomeCare, LLC is a dedicated provider of comprehensive home care services designed to meet the unique needs of individuals in the comfort and familiarity of their homes.
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Crystal Home Care’s mission is to provide our clients the finest care possible. Our philosophy of caring and our commitment to excellence is central to all we do. We focus on empowering our clients to live safely and...
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...
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,...
We are a dedicated homecare services provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
Harvest In-HomeCare Inc. - Plainfield, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eno Home Care is a dedicated home care agency committed to providing high-quality, compassionate, and personalized care for seniors and individuals with disabilities.
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...
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...
Amazing Medical Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apex Home Health Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Supreme Home Health, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alc Home Health is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Care Provider Your Care Is Our Responsibility Bringer of Joy is committed to providing high quality, client-centered and affordable Home Care services to its clients to assist them to lead dignified and...
Independence Plus Inc. is a home care provider that services in Oak Brook, IL. 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 Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Summit Home Health is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Delta Home Health Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We believe that providing professional and compassionate home care will help increase a person’s overall wellness, dignity, and confidence. For this reason, our caregivers are dedicated to supporting our clients’...
Healthcare Partners At Home, Llc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Oak Brook, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Greater Chicagoland is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for...
Growing up in the house “on the corner” was truly special. Mom cared not only for our family, but for the whole neighborhood. When Alzheimer’s knocked at her door, our family answered the call to care for her the way she...
Jennifer Novy, owner of Amada Senior Care North Shore, has dedicated her professional and personal life to caring for seniors. As a life-long Chicagoan, she now uses her senior care experience to help neighbors in Lake...
Home Helpers Home Care, serving the Western Suburbs of Chicago, provides compassionate care for those that need a little extra help to remain safe and independent in their own home. We are licensed by the State of...
APEX Health Services comprises a team of experts who redefine the continuum of health care model for optimal patient outcomes. We are committed to innovative care models that provide a full spectrum of services evolving...
At FirstLight Home Care of Oak Brook, 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...
Our team of compassionate and empathetic caregivers is committed to delivering care with a heart! They undergo rigorous training and background checks to ensure they are qualified to provide the care you need. We...
In 2019 Susie Murphy started D’Vine Caregivers as a natural extension of her 35 years of excellence in matching nannies and domestic helpers with young families. She now brings her skills and insight in finding and...
Ace-Premier Home Care Services, Inc. offers compassionate and personalized in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
Home Instead of Lisle, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Entera HomeCare, LLC is a dedicated provider of comprehensive home care services designed to meet the unique needs of individuals in the comfort and familiarity of their homes.
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Crystal Home Care’s mission is to provide our clients the finest care possible. Our philosophy of caring and our commitment to excellence is central to all we do. We focus on empowering our clients to live safely and...
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...
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,...
We are a dedicated homecare services provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
Harvest In-HomeCare Inc. - Plainfield, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eno Home Care is a dedicated home care agency committed to providing high-quality, compassionate, and personalized care for seniors and individuals with disabilities.
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...
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...
Amazing Medical Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apex Home Health Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Supreme Home Health, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alc Home Health is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Care Provider Your Care Is Our Responsibility Bringer of Joy is committed to providing high quality, client-centered and affordable Home Care services to its clients to assist them to lead dignified and...
Independence Plus Inc. is a home care provider that services in Oak Brook, IL. 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 Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Summit Home Health is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Delta Home Health Care, Inc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We believe that providing professional and compassionate home care will help increase a person’s overall wellness, dignity, and confidence. For this reason, our caregivers are dedicated to supporting our clients’...
Healthcare Partners At Home, Llc is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Oak Brook, IL is a home care provider that services in Oak Brook, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Greater Chicagoland is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for...
Growing up in the house “on the corner” was truly special. Mom cared not only for our family, but for the whole neighborhood. When Alzheimer’s knocked at her door, our family answered the call to care for her the way she...
Jennifer Novy, owner of Amada Senior Care North Shore, has dedicated her professional and personal life to caring for seniors. As a life-long Chicagoan, she now uses her senior care experience to help neighbors in Lake...
Home Helpers Home Care, serving the Western Suburbs of Chicago, provides compassionate care for those that need a little extra help to remain safe and independent in their own home. We are licensed by the State of...
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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.