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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:
FirstLight Home Care is the go-to home and senior care provider in Plano, TX! Our quality caregiving solutions are perfect for the elderly, those recovering from surgery, or anyone needing help with personal care or daily...
Welcome to Best Home Healthcare Services! We are dedicated to providing top-quality care for you your loved ones in the comfort of your own home. Our team of experienced professionals are here to ensure that you receive...
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
Home health care is essential for individuals who require personalized care and assistance in their daily activities but prefer the comfort of their own homes. At Grace Compassion Home Health Care, we understand the value...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
Our path is simple- to make a difference to our clients while helping them achieve their best selves, providing best possible individualized care from people who truly care. We understand life has lots of journeys and...
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
At Comfort Givers Home Care LLC, we prioritize compassionate and reliable in-home care, fostering independence and enhancing well-being. Our dedicated caregivers provide personalized support, from assistance with daily...
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...
Sean McLeod, owner of Amada Senior Care in Denton and Frisco, knows through the experiences of loved ones (as both a care provider and a care recipient) that quality care affects not only a patient, but also his or her...
DignaCare At Home is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hello! We are Marshall & Kacy Oden and we would like to welcome you to the Griswold Home Care Office of Garland, TX. We independently own and operate the Garland office and are very proud to offer affordable, high...
At Amada we understand that caring for relatives can be rewarding but also stressful, time consuming and emotionally exhausting. It is difficult for families to juggle work, children and other obligations and still find...
Welcome to Carestaf! In operation since 1996, we understand first-hand the challenges faced by families in need of medical assistance. Whether you need assistance in the home, hospital, assisted living or nursing...
At H&M Personal Home Care, we understand the importance of maintaining independence and comfort in one's own home. Our dedicated team offers a range of services, including companion care, personal care, and respite care,...
Holistic Plus Home Care Services is dedicated to providing compassionate, personalized care for individuals in the comfort of their own homes. We believe in a holistic approach that addresses not just physical needs, but...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
Compassionate and Personalized Home Care in Rockwall Navigating the journey of caring for aging loved ones can be daunting and overwhelming. At Cornerstone Caregiving Rockwall, we specialize in providing compassionate,...
Our Senior Helpers team of caregivers is dedicated to helping our senior neighbors stay independent and comfortable, whether at home or in a facility. We take pride in offering personalized care that not only enhances...
Life is Better with Villi of Dallas, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Eric vanGoethem, Owner of Amada Senior Care Dallas, has made it his mission to help seniors live safely and comfortably for as long as they can in the comfort of their own homes. Eric deeply empathizes with families who...
Our team at Ignite Compassionate Care is driven by the passion to enhance the quality of life for individuals in need of care. We take pride in our personalized approach, tailoring our services to the unique requirements...
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
A Place at Home Allen is here to provide you with compassionate professionals to assist you or your loved ones throughout the aging process. We strive to provide seniors with the ability to age with dignity and respect...
At Seniors Helping Seniors - Grapevile, Keller and Denton our in-home care feels less like a service and more like getting a little help from your friends®. Our caregivers are compassionate fellow seniors who are...
Approved Home Care is known for providing compassionate and personalized in-home care, helping clients maintain their independence and quality of life. Their dedicated caregivers offer a wide range of services, ensuring...
Helping Hearts provides best-in-class accessibility and quality of home health care to individuals and families of Nashville. Our clients can be assured of well-trained, compassionate, and empathetic caregivers who are...
Homewatch CareGivers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grace Home Health, Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accessible Home Health Care of Collin County is the Leading Provider of Medical and Non Medical Home Health Care Services. We have offices in 24 states. Why Accessible Home Health Care? Accessible’s professional...
We Provide Care We trace our success as a company to the simple and enduring philosophy that ageing is a gift. The wealth of knowledge and experience that comes with age is a gift to the individual & the family. We work...
Americansenior is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excel Plus Home Health Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels - Richardson, TX is a home care provider that services in Plano, TX. 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...
There is no higher priority to our NolasHands Family than the safety of our clients and caregivers. We aim to keep all of you out of harm's way and to support you through this challenging time.
AccuAid Care Services provides companion care, personal care, respite care, and dementia care wherever older adults need it. Whether you or your loved one needs help due to injury, illness, or age related decline, we are...
We are committed to, not only making the patients lives better, but helping families of the patients with their stress as well. We ensure they can stop being the caregiver, and assure them that the very best care...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Home Helpers® Home Care is a home healthcare service that has been providing top quality in-home care for over 25 years. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your...
C & C Caring Hands is proud to provide a high quality level of customer service, medical experience, and commitment to health and wellness to all our patients. Our experienced professionals put your healing needs first....
Comfort Keepers is the leading provider of customized home care services for Carrollton, Coppell, Lewisville, Flower Mound, Farmers Branch, and Addison. Our independently owned and operated Carrollton office provides...
Artwing Healthcare Solutions is a licensed non-medical staffing agency, providing the highest quality and compassionate personalized in-home care for our clients in all counties across the Dallas Metroplex, NorthTexas,...
Keystone Healthcare, Inc. is a home health agency based in Richardson, Texas. It provides a variety of in-home health care services, including skilled nursing, physical therapy, occupational therapy, speech therapy,...
At Griswold Home Care of Plano, our mission is to provide outstanding home care services from outstanding caregivers. Griswold Home Care allows seniors to stay in the home that they love, while maintaining their...
FirstLight Home Care is the go-to home and senior care provider in Plano, TX! Our quality caregiving solutions are perfect for the elderly, those recovering from surgery, or anyone needing help with personal care or daily...
Welcome to Best Home Healthcare Services! We are dedicated to providing top-quality care for you your loved ones in the comfort of your own home. Our team of experienced professionals are here to ensure that you receive...
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
Home health care is essential for individuals who require personalized care and assistance in their daily activities but prefer the comfort of their own homes. At Grace Compassion Home Health Care, we understand the value...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
Our path is simple- to make a difference to our clients while helping them achieve their best selves, providing best possible individualized care from people who truly care. We understand life has lots of journeys and...
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
At Comfort Givers Home Care LLC, we prioritize compassionate and reliable in-home care, fostering independence and enhancing well-being. Our dedicated caregivers provide personalized support, from assistance with daily...
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...
Sean McLeod, owner of Amada Senior Care in Denton and Frisco, knows through the experiences of loved ones (as both a care provider and a care recipient) that quality care affects not only a patient, but also his or her...
DignaCare At Home is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hello! We are Marshall & Kacy Oden and we would like to welcome you to the Griswold Home Care Office of Garland, TX. We independently own and operate the Garland office and are very proud to offer affordable, high...
At Amada we understand that caring for relatives can be rewarding but also stressful, time consuming and emotionally exhausting. It is difficult for families to juggle work, children and other obligations and still find...
Welcome to Carestaf! In operation since 1996, we understand first-hand the challenges faced by families in need of medical assistance. Whether you need assistance in the home, hospital, assisted living or nursing...
At H&M Personal Home Care, we understand the importance of maintaining independence and comfort in one's own home. Our dedicated team offers a range of services, including companion care, personal care, and respite care,...
Holistic Plus Home Care Services is dedicated to providing compassionate, personalized care for individuals in the comfort of their own homes. We believe in a holistic approach that addresses not just physical needs, but...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
Compassionate and Personalized Home Care in Rockwall Navigating the journey of caring for aging loved ones can be daunting and overwhelming. At Cornerstone Caregiving Rockwall, we specialize in providing compassionate,...
Our Senior Helpers team of caregivers is dedicated to helping our senior neighbors stay independent and comfortable, whether at home or in a facility. We take pride in offering personalized care that not only enhances...
Life is Better with Villi of Dallas, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Eric vanGoethem, Owner of Amada Senior Care Dallas, has made it his mission to help seniors live safely and comfortably for as long as they can in the comfort of their own homes. Eric deeply empathizes with families who...
Our team at Ignite Compassionate Care is driven by the passion to enhance the quality of life for individuals in need of care. We take pride in our personalized approach, tailoring our services to the unique requirements...
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
A Place at Home Allen is here to provide you with compassionate professionals to assist you or your loved ones throughout the aging process. We strive to provide seniors with the ability to age with dignity and respect...
At Seniors Helping Seniors - Grapevile, Keller and Denton our in-home care feels less like a service and more like getting a little help from your friends®. Our caregivers are compassionate fellow seniors who are...
Approved Home Care is known for providing compassionate and personalized in-home care, helping clients maintain their independence and quality of life. Their dedicated caregivers offer a wide range of services, ensuring...
Helping Hearts provides best-in-class accessibility and quality of home health care to individuals and families of Nashville. Our clients can be assured of well-trained, compassionate, and empathetic caregivers who are...
Homewatch CareGivers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grace Home Health, Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accessible Home Health Care of Collin County is the Leading Provider of Medical and Non Medical Home Health Care Services. We have offices in 24 states. Why Accessible Home Health Care? Accessible’s professional...
We Provide Care We trace our success as a company to the simple and enduring philosophy that ageing is a gift. The wealth of knowledge and experience that comes with age is a gift to the individual & the family. We work...
Americansenior is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excel Plus Home Health Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels - Richardson, TX is a home care provider that services in Plano, TX. 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...
There is no higher priority to our NolasHands Family than the safety of our clients and caregivers. We aim to keep all of you out of harm's way and to support you through this challenging time.
AccuAid Care Services provides companion care, personal care, respite care, and dementia care wherever older adults need it. Whether you or your loved one needs help due to injury, illness, or age related decline, we are...
We are committed to, not only making the patients lives better, but helping families of the patients with their stress as well. We ensure they can stop being the caregiver, and assure them that the very best care...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Home Helpers® Home Care is a home healthcare service that has been providing top quality in-home care for over 25 years. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your...
C & C Caring Hands is proud to provide a high quality level of customer service, medical experience, and commitment to health and wellness to all our patients. Our experienced professionals put your healing needs first....
Comfort Keepers is the leading provider of customized home care services for Carrollton, Coppell, Lewisville, Flower Mound, Farmers Branch, and Addison. Our independently owned and operated Carrollton office provides...
Artwing Healthcare Solutions is a licensed non-medical staffing agency, providing the highest quality and compassionate personalized in-home care for our clients in all counties across the Dallas Metroplex, NorthTexas,...
Keystone Healthcare, Inc. is a home health agency based in Richardson, Texas. It provides a variety of in-home health care services, including skilled nursing, physical therapy, occupational therapy, speech therapy,...
At Griswold Home Care of Plano, our mission is to provide outstanding home care services from outstanding caregivers. Griswold Home Care allows seniors to stay in the home that they love, while maintaining their...
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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.