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:
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
PROVIDING EXCEPTIONAL HOME CARE SERVICES FOR YOUR LOVED ONES At Home Helpers® Home Care in Rochester, MI, we understand the importance of helping your loved ones remain safe and independent at home. Through our Cared-4℠...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
our loved ones to stay where they feel most comfortable: at their home in Chesterfield. Our trusted Chesterfield staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at Ravis Grille,...
At Griswold Home Care for Troy, Utica & Macomb, we offer compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and...
At Precious Gift Home Healthcare Agency LLC, we believe that quality care is the foundation of a fulfilling life. Our mission is to provide compassionate, personalized, and professional home healthcare services that...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
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...
Right At Home-Sterling Heights is an organization of caregivers serving the Sterling Heights area. We provide in-home caregivers for seniors and others who need help to remain living in their own homes. Call or write...
MVM CONSULTING& SOCIAL SERVICES, INC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Platinum Care Home Services, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Associates In Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARE4YOU is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Care Home Health Services, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premium Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care HR is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cherish Home Health Services, LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Camp Home Health Services Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sterling Home Care Inc-Sterling Heights-MI is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divinity Home Care is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Pro Care Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Honest Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sphinx Home Health Care, L L C is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifetime Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BELLA HOME CARE AGENCY LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apollo Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amenity Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mareli Home Care, LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amber Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Home Care LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excellent Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Regency Homecare, Inc is a home care provider that services in Sterling Heights, MI. 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,...
Dynaflex Home Health Care, L L C is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Proactive Home Care, we believe in going beyond basic care. Our compassionate caregivers are dedicated to enhancing the everyday lives of seniors. Whether it’s providing assistance with daily activities or offering...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Compassion8.care4U delivers personalized, compassionate in-home care, enhancing the well-being and comfort of our clients. Our professional caregivers assist with daily activities, medical needs, and companionship,...
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
PROVIDING EXCEPTIONAL HOME CARE SERVICES FOR YOUR LOVED ONES At Home Helpers® Home Care in Rochester, MI, we understand the importance of helping your loved ones remain safe and independent at home. Through our Cared-4℠...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
our loved ones to stay where they feel most comfortable: at their home in Chesterfield. Our trusted Chesterfield staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at Ravis Grille,...
At Griswold Home Care for Troy, Utica & Macomb, we offer compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and...
At Precious Gift Home Healthcare Agency LLC, we believe that quality care is the foundation of a fulfilling life. Our mission is to provide compassionate, personalized, and professional home healthcare services that...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
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...
Right At Home-Sterling Heights is an organization of caregivers serving the Sterling Heights area. We provide in-home caregivers for seniors and others who need help to remain living in their own homes. Call or write...
MVM CONSULTING& SOCIAL SERVICES, INC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Platinum Care Home Services, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Associates In Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARE4YOU is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Care Home Health Services, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premium Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care HR is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cherish Home Health Services, LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Camp Home Health Services Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sterling Home Care Inc-Sterling Heights-MI is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divinity Home Care is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Pro Care Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Honest Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sphinx Home Health Care, L L C is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lifetime Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BELLA HOME CARE AGENCY LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apollo Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amenity Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mareli Home Care, LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amber Home Health Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Home Care LLC is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Excellent Home Care, Inc is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Regency Homecare, Inc is a home care provider that services in Sterling Heights, MI. 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,...
Dynaflex Home Health Care, L L C is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Proactive Home Care, we believe in going beyond basic care. Our compassionate caregivers are dedicated to enhancing the everyday lives of seniors. Whether it’s providing assistance with daily activities or offering...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Sterling Heights, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Compassion8.care4U delivers personalized, compassionate in-home care, enhancing the well-being and comfort of our clients. Our professional caregivers assist with daily activities, medical needs, and companionship,...
Compare Home Care Agency Costs & Services
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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.