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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:
At A Better Colorado Home Health Care Agency, our mission is to provide compassionate and personalized non-medical in-home care services to enhance the quality of life for individuals and families across Colorado. We are...
At Attend Home Care, our mission is to provide five-star quality home care services with kindness and respect. We believe that every individual deserves to be provided for with dignity, so we offer compassionate care...
Home Instead - Pueblo, CO is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We know your first priority when choosing a home care provider is finding someone you can trust and rely on… someone who will care for your loved one as you would, and as we would our own. We’ve been where you are, and...
Human Touch Home Health Care Pueblo, CO is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PACE is designed to keep seniors independent and at home for as long as possible. Senior care decisions are never easy, especially when dealing with complex health issues that require multiple services. InnovAge PACE –...
Complete Home Health Care is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We build caregiving teams to improve people’s lives wherever needed. We are Interim HealthCare of Pueblo. Interim HealthCare of Pueblo is a premier organization committed to providing quality health care to the people...
Caring Plus Inc is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
At Spectrum of Light Home Care we provide quality and reliable in-home care services. We provide care to anyone who needs assistance with their daily activities. We are available 24 hours a day to service your needs....
Parkview Homecare is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place at Home - Pueblo, CO is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxim Healthcare Services is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Care Home Health Of Pueblo is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Argus Home Care, Inc is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Home Health Care Pueblo, CO is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Independent Hearts Home Care is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team recognizes the complexities of the challenges that come with aging. For this reason, Cornerstone is proud to offer personalized care that’s within reach. You can start right away with a phone call to your local...
Pueblo/Pueblo West Home Health is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABC Home Health Care Inc is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Argus Home Care of Pueblo, CO is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Centura Health-ST Mary Corwin Home Services is a home care provider that services in Pueblo, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.