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.*
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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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Help At Home - Savannah, GA is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Hands On Health Care is your alternative to assisted living and nursing homes needs. Thats why we provide Quality Care while looking after your love ones. If it is just to take a break, go to work, go on a vacation, or...
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With years of experience, our medical team will assess you and create a custom recovery plan that's right for you. We understand the importance of educating you on the most effective ways to take care of your body so that...
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Simply Living Personal Care Home LLC is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that no single care plan fits all. Daily services can include anything from meal preparation, hygiene, cleaning, and supervision—and each person needs different services. We will take the time to get to know...
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Zeppone Caring Hands has been dedicated to Private Home Health Care serving the community and their families since 2014. Through the years we have grown by expanding our home care services, while maintaining our highly...
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Savannah Specialty Home Care, LLC is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightstar Care of Savannah, GA is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead Senior Care® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance...
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Gentiva Health Services is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Savannah was established in 2021. At Senior Helpers of Savannah, our primary goal is to help provide a high quality of life for our clients and their families, by delivering customized, dependable and...
ALL HOURS PRIVATE DUTY NURSING AND CARE LLC is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AccordCare was founded in January 2020, formed from three outstanding, caring companies coming together; Accord Services, A Hand To Hold, and Allegiant Home Care. All companies are dedicated to serving clients wanting to...
FirstLight Home Care of Savannah, Hilton Head Island, and Bluffton, providing reliable in-home care and caregiver services for elderly and adults of all ages. With the home and senior care services we offer, your loved...
Zeppone Caring Hands Homecare is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Your Service. Miracle Home Healthcare is an insured and bonded in home care service company. Our clients consist of anyone with a disability ranging from infant to elderly.
MYRACLE HANDS HOME CARE, LLC of Savannah, GA is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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BUCKINGHAM AT HOME, LLC is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passionate About You Private Homecare LLC offers dedicated, customized in-home care to seniors and those needing extra support. Our skilled caregivers assist with daily tasks, fostering independence and well-being. Count...
ALIVE HOME CARE is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Longleaf Homecare, LLC is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Carter's Loving Home Care LLC, your trusted partner in providing compassionate home care services in Savannah. Our mission is to enhance the quality of life for individuals and families by offering personalized...
Griswold Home Care for Savannah, GA is a home care provider that services in Savannah, GA. 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,...
Zeppone Caring Hands has been dedicated to Private Home Health Care serving the community and their families since 2014. Through the years we have grown by expanding our home care services, while maintaining our highly...
St. Joseph's/Candler Home Healthcare is a home care provider that services in Savannah, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Helpers® Home Care we offer personal care and companionship care. We assist with the basic activities of daily living like hygiene, cooking, mobility, errands and light housekeeping helping your loved one remain...
One Love is a family-owned home healthcare service deeply rooted in the heart of Savannah, Georgia. Since the 1980s, our family has been an integral part of this vibrant community, embracing its charm, traditions, and the...
Magnolia Home Care Service is operated and owned by a Registered Nurse located in Savannah, GA. We are dedicated to serving the community and providing quality service. Serving our community is what we strive to do. We do...
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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.