Are you sure you want to exit? Your progress will be lost.
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:
Home Instead offers two types of caregivers to take care of your needs. We have Companion/Home Helper Services for all around general help (light housekeeping, errands/transportation, shopping, meal preparation, laundry,...
Our Values - At FirstLight HomeCare, a leading home care agency, the genuine health and well-being of others is our greatest concern. We vow to provide first-class personal service for our clients so that they may enjoy...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Senior Helpers Greater Richmond 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...
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...
ameriCARE of Greater Richmond is a home care provider that services Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other...
Quality Care @ Home is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beyond The Bedside offers compassionate in-home care that goes beyond routine support. Our dedicated caregivers assist seniors and individuals with daily tasks, promoting independence, comfort, and safety for an enhanced...
Dhs Home Health is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care by Professionals is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homewatch CareGivers of Richmond, VA is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Old Dominion Home Health Svc is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Care Staffing, Inc. of VA is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It’s About Caring, Not Just Healthcare At Nurse Next Door, we provide compassionate, flexible and reliable care to help seniors remain happy, healthy and safely in their homes. Select from a full spectrum of in-home...
Oasis Home Care, LLC is a leading provider of in-home care services, offering a wide range of tailored solutions to meet the unique needs of our clients.
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Guardian Homecare, Llc is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bon Secours Home Care is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jay Mann, owner of Amada Senior Care Richmond, knows too well the feelings of frustration families feel when they are not able to help and care for a senior loved one. Jay recalls, “Early in my career, I had the...
Gentiva Hlth Srvc Richmond is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We offer a range of home health care services, including wound care, medication management, chronic disease management, and more. Our services are tailored to meet the unique needs of each individual, and we work closely...
Above and Beyond Home Care, LLC of VA is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American Homecare Inc is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ivna Home Health Care is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Connection Inc is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Care Home Health Inc is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Intrepid USA Healthcare Services is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A All About Care is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightstar Care of Richmond, Virginia is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Being There Senior Care provides non-medical private duty care for clients in their homes, while in the hospital, or in a residential facility. We customize services to meet each family's unique situation, and we are...
Innovative Senior Care Home Health is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advance Care, LLC is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Itnoa Healthcare Services LLC is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Care is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heaven's Touch Nursing Services LLC is a home care provider that services in Richmond, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurse Nicole's Home Care, LLC is a home care provider that services in Richmond, VA. 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. InnovAge PACE – Program of All-inclusive Care for the Elderly – provides healthcare and social services to seniors without moving them...
Make FirstLight Home Care your first and trusted choice when you or a family member needs reliable caregivers to provide compassionate home care in Richmond and surrounding communities. In-home care allows for you or your...
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...
Home Instead offers two types of caregivers to take care of your needs. We have Companion/Home Helper Services for all around general help (light housekeeping, errands/transportation, shopping, meal preparation, laundry,...
Wayne and Barbra opened the Senior Helpers Greater Richmond office in 2017 because they are passionate about providing the highest level of client service in their community. Their prior work opened their eyes to the...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
At Interim HealthCare of Richmond, VA, we believe that living in the comfort of your own home can make a huge difference in your quality of life.That's why we're dedicated to delivering In-home Senior Care Services with...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
Our Mission Our company was founded out of a desire to provide personalized, higher quality care that focuses on BOTH employees and patient’s needs, rather than the company or payer’s needs. After thirty years of home...
Welcome to Jus' Like Home LLC, where we provide personalized in-home care for the community. Our comprehensive services include medication management, meal preparation, and companionship. Our team of compassionate...
$75 OFF YOUR FIRST WEEK! Senior home health care, personal companion, errand/housekeeping service in Richmond, VA providing caring professionals in your home for over 20 years! Customize your care with a wide menu 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.