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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:
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.
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Serenity Home Healthcare LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and...
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...
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...
LikeFamily Home Care LLC, Compassionate In-Home Care Services At LikeFamily Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
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...
Recognized For Our Devotion To Clients and Caregivers Our goal is not to be the biggest home care company, it's to be the best home care company. The most accurate way to measure that standard is comparing ourselves to...
LLP Homecare, LLC, Compassionate In-Home Care Services At LLP Homecare, LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission...
At Better Choice Home Health Inc., your trusted partner for compassionate, professional home health care services. Experience personalized care tailored to your needs, delivered with respect and dedication. Discover the...
We are licensed by the Illinois Department of Public Health as a Home Services Agency and our company and our employees are licensed, bonded and insured. We are a proud member of the Home Care Association of America....
In-home care services can help people at any point within the aging process. We’ll work with you to develop a personalized care plan tailored to help fit your family’s needs. Our expert care provides all the support...
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 in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Oak Park, extending into Chicago neighborhoods such as South Austin, West Garfield Park...
SYNERGY HomeCare of Oak Park, IL is a home care provider that services in Oak Park, 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.
“COLLABORATION AND PARTNERSHIP EQUALS EXCELLENT CARE” Excellent Home Health Care, Inc (EHHCI) has been established for the sole purpose of providing individuals and their families with the best possible home health care...
Agape is a licensed and insured home care agency that offers non-medical services, providing individuals with much-needed companionship and assistance with daily activities. We offer personalized 1-on-1 care that enables...
Resurrection Home Care LLC is a leading provider of in-home care services in the United States. Our mission is to provide compassionate and personalized care to seniors, individuals with disabilities, and those recovering...
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...
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Raji Care LLC is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Sufficient Home Care Services, Inc. is a home care provider that services in Oak Park, IL. All Sufficient Home Care Services, Inc. offers a wide array of home care services.
At Affection Home Care, LLC our mission is to provide compassionate, high-quality home care services to individuals and families across Illinois. We are committed to enhancing the lives of our clients by promoting...
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We understand that finding the right support for yourself or a loved one is an important and personal decision. Our homemaker and companion care services are designed to provide compassionate, reliable assistance tailored...
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Amedisys Home Health of Oak Park is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ARIS at home provides non-medical home care to clients who want to remain in their own home. Our client’s consists of the elderly, people with illnesses or disabilities, and families that may need an “extra set of hands....
Elc Health Care, Llc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dmj Home Health Services, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Loving Family Care is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allbest Home Health Care, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Haven Care, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Global Home Health I, Llc is a home care provider that services in Oak Park, 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...
Access Health Medical Supplies and Home Health Inc. is a trusted provider of high-quality home care services for seniors, offering compassionate and professional assistance to help older adults maintain their independence...
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...
We offer in-home services including, support for activities of daily living, companion care, transportation, & emergency monitoring services.As everyday life becomes more challenging a little help can go along way. From a...
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...
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.
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...
Serenity Home Healthcare LLC provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and...
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...
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...
LikeFamily Home Care LLC, Compassionate In-Home Care Services At LikeFamily Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
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...
Recognized For Our Devotion To Clients and Caregivers Our goal is not to be the biggest home care company, it's to be the best home care company. The most accurate way to measure that standard is comparing ourselves to...
LLP Homecare, LLC, Compassionate In-Home Care Services At LLP Homecare, LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission...
At Better Choice Home Health Inc., your trusted partner for compassionate, professional home health care services. Experience personalized care tailored to your needs, delivered with respect and dedication. Discover the...
We are licensed by the Illinois Department of Public Health as a Home Services Agency and our company and our employees are licensed, bonded and insured. We are a proud member of the Home Care Association of America....
In-home care services can help people at any point within the aging process. We’ll work with you to develop a personalized care plan tailored to help fit your family’s needs. Our expert care provides all the support...
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 in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Oak Park, extending into Chicago neighborhoods such as South Austin, West Garfield Park...
SYNERGY HomeCare of Oak Park, IL is a home care provider that services in Oak Park, 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.
“COLLABORATION AND PARTNERSHIP EQUALS EXCELLENT CARE” Excellent Home Health Care, Inc (EHHCI) has been established for the sole purpose of providing individuals and their families with the best possible home health care...
Agape is a licensed and insured home care agency that offers non-medical services, providing individuals with much-needed companionship and assistance with daily activities. We offer personalized 1-on-1 care that enables...
Resurrection Home Care LLC is a leading provider of in-home care services in the United States. Our mission is to provide compassionate and personalized care to seniors, individuals with disabilities, and those recovering...
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...
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...
Raji Care LLC is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Sufficient Home Care Services, Inc. is a home care provider that services in Oak Park, IL. All Sufficient Home Care Services, Inc. offers a wide array of home care services.
At Affection Home Care, LLC our mission is to provide compassionate, high-quality home care services to individuals and families across Illinois. We are committed to enhancing the lives of our clients by promoting...
Interim HealthCare of Oak Park, IL is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Haven Home Health Care, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ardent Home Health Care Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that finding the right support for yourself or a loved one is an important and personal decision. Our homemaker and companion care services are designed to provide compassionate, reliable assistance tailored...
Companion Choice offers services to assist clients in living independently, safely, and comfortably as possible at home. Trained caregivers under the supervision of a Registered Nurse (service plan manager) are available...
Care Options at Home is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of Oak Park is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ARIS at home provides non-medical home care to clients who want to remain in their own home. Our client’s consists of the elderly, people with illnesses or disabilities, and families that may need an “extra set of hands....
Elc Health Care, Llc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dmj Home Health Services, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Loving Family Care is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allbest Home Health Care, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Haven Care, Inc is a home care provider that services in Oak Park, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Global Home Health I, Llc is a home care provider that services in Oak Park, 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...
Access Health Medical Supplies and Home Health Inc. is a trusted provider of high-quality home care services for seniors, offering compassionate and professional assistance to help older adults maintain their independence...
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...
We offer in-home services including, support for activities of daily living, companion care, transportation, & emergency monitoring services.As everyday life becomes more challenging a little help can go along way. From a...
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.