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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:
Delight Care Compassionate In-Home Care Services At Delight Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to...
At Home Instead, our families live and work in Houston, so we're invested in our community on a very personal level. We offer friendly, responsive home care services right in your neighborhood. If you or a loved one could...
Our Focus Is Helping Seniors Live Well At Home All About You Care Services provides compassionate in-home care for seniors, offering a range of services including meal preparation, bathing assistance, light housekeeping,...
Angels Over Us is owned and operated by Lani Cabral, an experienced Senior Care Nurse Specialist. Lani used her experience and expertise to build a seasoned team of home care professionals to deliver a broad range of...
At Abbydot Homecare LLC, we prioritize the comfort and independence of our clients by offering professional and compassionate in-home care services. Our dedicated team provides personal care, companionship, and...
Our team approach, here at Noble Health, works at creating empowering environments to help our clients heal at home. We only hire caregivers that we would trust to care for our family. Our caregivers are stroke...
Nurse Next Door is a senior home care service with heart. Our kind caregivers make lives better for clients where they’re the most comfortable: at home. With 24/7 availability, total flexibility and everything managed for...
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
Aura Point Health Services LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DLord Healthcare offers a wide range of services designed to meet your unique healthcare needs. We are dedicated to providing comprehensive care that prioritizes your well-being and comfort. Our services include:
SierCam Healthcare Services was founded in 2005, inspired by the idea that our loved ones deserve to receive the care and support they need in the comfort of their own home. We strive every day to provide non-medical...
Seraphic Hearts Homecare selects well-qualified and experienced licensed healthcare professionals who understand the value and importance of providing quality care. We strive to provide excellent, evidence-based, and...
St. James Home Care was founded in 2005, inspired by the idea that our loved ones deserve to receive the care and support that they need in the comfort of their own home. We strive every day to provide non-medical...
GRANNY'S HELPING HAND LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMAZING ANGELS HOME CARE LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
OLAM HOME CARE SERVICES LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Caregivers Health Care Inc is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifecare Options Home Health Services Inc is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Sugarland, TX is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Moody Home Health Services is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ELIM Home Healthcare Services is dedicated to providing exceptional non-medical in-home care for seniors in Rosenberg, TX, and surrounding areas. We specialize in offering compassionate and reliable assistance to enhance...
Cherishing Hearts Home Care Services is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Granny's Helping Hand is a nonmedical health services provider that focuses on In-Home Support. Your loved one is our priority. Our staff provide exceptional care and cater to the specific needs of each person. Our...
Let’s Meet! With First Royalty Home Care, you’ll get the combined experience of people who’ve been serving seniors in the Houston area for over 50 years. We will care for you and your loved ones like we would our own family.
Life is Better with Villi of Houston, 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...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
Sweet In-Home Care is a locally operated small female owned non-medical in-home private duty care service with specialized personal care plans for seniors, expectant/new mom(s), disabled, and anyone in in recuperative or...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
Delight Care Compassionate In-Home Care Services At Delight Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to...
At Home Instead, our families live and work in Houston, so we're invested in our community on a very personal level. We offer friendly, responsive home care services right in your neighborhood. If you or a loved one could...
Our Focus Is Helping Seniors Live Well At Home All About You Care Services provides compassionate in-home care for seniors, offering a range of services including meal preparation, bathing assistance, light housekeeping,...
Angels Over Us is owned and operated by Lani Cabral, an experienced Senior Care Nurse Specialist. Lani used her experience and expertise to build a seasoned team of home care professionals to deliver a broad range of...
At Abbydot Homecare LLC, we prioritize the comfort and independence of our clients by offering professional and compassionate in-home care services. Our dedicated team provides personal care, companionship, and...
Our team approach, here at Noble Health, works at creating empowering environments to help our clients heal at home. We only hire caregivers that we would trust to care for our family. Our caregivers are stroke...
Nurse Next Door is a senior home care service with heart. Our kind caregivers make lives better for clients where they’re the most comfortable: at home. With 24/7 availability, total flexibility and everything managed for...
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
Aura Point Health Services LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DLord Healthcare offers a wide range of services designed to meet your unique healthcare needs. We are dedicated to providing comprehensive care that prioritizes your well-being and comfort. Our services include:
SierCam Healthcare Services was founded in 2005, inspired by the idea that our loved ones deserve to receive the care and support they need in the comfort of their own home. We strive every day to provide non-medical...
Seraphic Hearts Homecare selects well-qualified and experienced licensed healthcare professionals who understand the value and importance of providing quality care. We strive to provide excellent, evidence-based, and...
St. James Home Care was founded in 2005, inspired by the idea that our loved ones deserve to receive the care and support that they need in the comfort of their own home. We strive every day to provide non-medical...
GRANNY'S HELPING HAND LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMAZING ANGELS HOME CARE LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
OLAM HOME CARE SERVICES LLC is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Caregivers Health Care Inc is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifecare Options Home Health Services Inc is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Sugarland, TX is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Moody Home Health Services is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ELIM Home Healthcare Services is dedicated to providing exceptional non-medical in-home care for seniors in Rosenberg, TX, and surrounding areas. We specialize in offering compassionate and reliable assistance to enhance...
Cherishing Hearts Home Care Services is a home care provider that services in Rosenberg, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Granny's Helping Hand is a nonmedical health services provider that focuses on In-Home Support. Your loved one is our priority. Our staff provide exceptional care and cater to the specific needs of each person. Our...
Let’s Meet! With First Royalty Home Care, you’ll get the combined experience of people who’ve been serving seniors in the Houston area for over 50 years. We will care for you and your loved ones like we would our own family.
Life is Better with Villi of Houston, 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...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
Sweet In-Home Care is a locally operated small female owned non-medical in-home private duty care service with specialized personal care plans for seniors, expectant/new mom(s), disabled, and anyone in in recuperative or...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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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.