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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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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...
Here at Alomega Home Health Care LLC we strive to make sure your needs are taken care of. Since being in this industry for years, we know the right questions to ask to ensure each individual is taken care of in their own...
Home Helpers® Cared-4 program covers every need to keep someone independent and comfortable at home. Our services include Personal Care & Companionship, Nutrition and Well-Being, Safety and 24-Hour Monitoring and Wellness...
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Agency Description Pure Heart Homes LLC , Compassionate In-Home Care Services At Pure Heart Homes LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity,...
At Aid To Home LLC, we understand the importance of maintaining independence and comfort in one's own home. Our dedicated team offers a range of services, including personal care, companionship, and specialized support,...
At Naythan Agile Care, our mission is to revolutionize healthcare delivery by providing compassionate, personalized, and agile care services that adapt to the unique needs of each individual. We are committed to promoting...
A Place At Home owner Paul Walton left his corporate role to make a more significant impact in his community. Coming from a family rooted in service, he longed to get back to helping otherpeople. Since 2019, he's been...
Southwest Home Health Care Central Texas is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mission Statement: Our mission as a for-profit, Licensed and Certified Home Health Agency is to provide professional and paraprofessional services to clients in the comfort of their homes and assisting them to achieve...
Amcare Plus Corporation is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KEEP SAFE CAREROUND ROCK is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empower Schools is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accolade Home Care is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To be the leading provider of compassionate, personalized, and innovative home care services in Texas, enhancing the quality of life for our clients and empowering families through exceptional care, integrity, and a...
Hill Country Home Health is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Promise Senior Solutions was started with the idea that seniors deserve affordable, and dependable care. We are a service company dedicated to keeping seniors safe and comfortable at home. Our services were designed for...
At Spring Hills Home Care of Round Rock, you’ll find Texas home care specialists that are dedicated to high-quality home care services that fit your family’s needs. Spring Hills Home Care of Round Rock specializes in...
ComForCare Home Care - Round Rock, TX is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Duplicate: Amada Senior Care of Round Rock, TX is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accord Home Care Inc is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To offer our clients personalized non-medical support services in their homes, assisting the elderly, disabled and others needing assistance to maintain quality of life. Our services support the individual’s choices and...
Our Vision A healthy trusting environment to promote and develop self-confidence, self reliance and trust of today’s underprivileged youths and senior citizens when otherwise may not have the opportunity.
Wecare Home Care is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royalty Care Home Health Services Inc is a home care provider that services in Round Rock, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Trusted Caring Hands, we understand the importance of maintaining independence and comfort in one's own home. Our dedicated team offers a range of services, including personal care, companionship, and specialized...
Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the week, Right at Home North Austin and Williamson County can be...
Every Austin family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy daily...
Preferred Care at Home of North Austin and Williamson County is locally owned and operated, providing caregiving services including companionship, medication reminders, hygiene assistance, light housekeeping, meal...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
We provide trained, insured and bonded caregivers for a variety of care giving needs. Whether it's for extra assistance after a stay in the hospital, an aging parent who needs extra help or companionship to remain in...
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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.