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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:
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Companion Purple Heart Homecare, 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...
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...
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,...
KMK Care is a personal services agency, committed to enhancing the lives of individuals across the state of INDIANA. Our unwavering dedication to excellence, compassion, and integrity fuels our mission to improve the...
Gentle Hands Home Care was founded in August 2024 with a clear mission: To provide high-quality, compassionate home care services that allow individuals to live independently in their own homes. Our commitment to...
Dependable Hands Home Care provides reliable and compassionate in-home care for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
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!
At Loving Touch LLC, we are committed to enhancing the quality of life for our clients by providing compassionate and personalized care. Our services are designed to support daily living, promote independence, and ensure...
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...
Ida's Home Care is committed to providing high-quality and client-centered services/care to our clients to enable them to lead dignified and independent lives in the comfort and safety of their own homes. In consultation...
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...
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 Glory Hands Personal Home Care, we offer compassionate and personalized homecare services. Our dedicated team is committed to enhancing the quality of life for those we serve. We hold their hands, you hold their hearts.
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...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
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...
Spot On Home Care provides reliable and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
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...
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.
Quaker Community Services LLC is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Highland Community Bridge - Parent is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care of West Indianapolis, IN is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Winners Home Care LLC is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
STAFF AID is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BETHANY HOME CARE LLC of Plainfield, IN is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Robinflo Home care LLC is a compassionate and professional non-medical in-home care agency dedicated to improving the quality of life for seniors and individuals with disabilities. Our team provides personalized,...
Luxury Care At Home LLC is a premium in-home care service provider specializing in offering personalized, high-quality care for seniors and individuals requiring assistance with daily living activities.
Welcome to Seniors Helping Seniors in-home services where we match seniors who need help with seniors who want to help throughout Boone, Hendricks and Morgan Counties, Indiana. It’s a unique relationship built between...
Peace of Mind Personal Services LLC is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique Home Care LLC is a home care provider that services in Plainfield, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Highland Community Bridge offers personalized in-home care services for seniors and individuals with disabilities. Our compassionate caregivers provide assistance with daily tasks, medical support, and companionship,...
As United States trust home care provider, Amor Homecare has provided in-home care to thousands of satisfied clients. We have consistently earned high customer satisfaction ratings and industry awards. Our services are...
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...
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...
Mae's Care & Comfort Angels LLC is a dedicated home care agency committed to providing compassionate, high-quality, and personalized care services to seniors and individuals in need.
At FirstLight Home Care, we are dedicated to ensuring that you and your loved ones can be taken care of if you ever need an extra helping hand around the home. FirstLight Home Care offers a comprehensive suite of best...
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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.