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:
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...
At Evanston CareNow Homecare it is our mission to provide our older adult with exceptional home care services and achieve the optimum wellness the older adult deserves.
Jonathan Wishnick opened Senior Helpers of Chicago in 2009 so people who need assistance would get well trained, well managed, and smart assistants as a tribute to his mother. Jonathan makes sure every client is treated...
Established in 1984, All Help Health Services places caregivers that help individuals live independently. We have an outstanding reputation with Chicagoland hospitals, medical, and rehabilitation facilities. We place...
We specialize in providing high-quality nonmedical care services for seniors, helping them maintain their independence and dignity at home. Our founder's journey as a caregiver for over 15 years has shaped our approach...
Assisting Hands Home Care is the #1 home care agency that provides professional in-home care services, allowing our clients to remain safe and comfortable in their homes.
COMPASSIONATE & PROFESSIONAL HOME CAREGIVERS If you have a loved one who needs extra care, whether it be due to aging or lifelong challenges, trust the team at Home Helpers® Home Care! We are a professional and...
Compmed Home Health, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Infinity Home Health Services is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affinity Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Infinity Home Care Inc. is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Open Arms Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Touch, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care-Med Home Health Services, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Northshore University Healthsystem Home & Hospice is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxicare Home Health Services is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
“COLLABORATION AND PARTNERSHIP EQUALS EXCELLENT CARE” Excellent Home Health Care, Inc (EHHCI) has been established for the sole purpose of providing individuals and their families with the best possible home health care...
JN Family Home Healthcare Services, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Health Choice, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Citrine Home Healthcare, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heartwise Home Health Care LLC is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Immaculate Home Care Inc of Skokie, IL is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Open Waters Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At LarryG Healthcare Services, we redefine healthcare with a commitment to your well-being. Our mission is to provide comprehensive and compassionate healthcare solutions tailored to meet your unique needs.
Assure Home Healthcare, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Choice Home Health, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
O & P Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
One on One Caregiver is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medlife Home Healthcare, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Health Care Usa, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ambulatory Health Care Service is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angelheart Care Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
National Home Health Services, LLC is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lincoln Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Living Spring Home Care Services is a locally owned and fully independent agency providing the best home care services for Cook, Lake, and DuPage Counties. We begin by assessing your needs. Our Care Coordinator visits...
There is nothing better than one-on-one care for your loved one. Let your loved ones enjoy life in the comfort and security of your own home with in-home care.
Illinois Health Care Services, Llc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empathy Bloom Home Care is dedicated to simplifying the process in delivering the best senior living services with personalized guidance in Chicagoland and Northshore Suburban Area. We have Compassionate Team of caring...
Icare Home Health Providers, Llc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heritage Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Matrix Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-home care can mean different things to different people. Whatever the circumstances may be, our adaptable approach to home care assistance means that you and your loved ones get the right services for your situation.
Primary Care Home Health Care, Inc is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bay Group Health Care, LLC is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advent Care, LLC is a home care provider that services in Skokie, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jennifer Novy, owner of Amada Senior Care North Shore, has dedicated her professional and personal life to caring for seniors. As a life-long Chicagoan, she now uses her senior care experience to help neighbors in Lake...
Vision & Mission At FirstLight Home Care, we envision a world in which all adults may age with comfort, dignity and independence in the place they call home. We exist to help people have their best day, every day. Our...
North Shore Compassionate Care is the ideal solution for elderly or disabled individuals who want to maintain their independence and dignity by continuing to live in the comfort of their own homes. Our home health...
Compare Home Care Agency Costs & Services
×
Success!
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.