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.
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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:
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
At Indeed Care, we provide professional and compassionate elderly care services in Columbia, South Carolina and the surrounding areas . We specialize in dementia care , personal care, medication reminders, mobility...
A STEP ABOVE IN HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kenisha's In-Home Care Services is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are your family’s one call to simplify in-home care - Your concierge. We will see to the smallest details to create and implement a game plan for the care of a loved one now and the days ahead. At Your Service Home...
Blessed Home Care LLC is a premier non-medical in-home health care agency based in Sumter, South Carolina. Founded and owned by Tanesha Nechell, our agency is dedicated to providing compassionate and personalized care to...
Our team of experienced caregivers is committed to delivering exceptional service with respect, dignity, and empathy. At A & E Services LLC, we prioritize building meaningful relationships and creating a safe, nurturing...
DD&C In-Home Care is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A BETTER DAY HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We assist in meal preparation, medication reminders, transportation, light housekeeping, laundry, grocery shopping, post surgery/rehab care and short-term relief for vacations or family functions.
GIFTED TOUCH HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HORIZON HEALTH CARE SERVICES OF SOUTH CAROLINA LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus HealthCare has been providing quality in-home services since 1979. From companionship to specialized home health care, our services are designed to make your choice easier... to remain independent at home. No one...
Tuomey Home Health is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique Home Care LLC provides exceptional personal home care services, delivering compassionate, individualized support to those in need. Their dedicated team ensures that clients can maintain independence and dignity...
DD&C is based on the care for the ill and the disabled. We are about lending a helping hand. Our staff will go above and beyond for your family member. Let us make a difference in your life.
WE KARE HOME CARE AGENCY is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Logans Complete Care is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Total Companion LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Loving Home Health Care Services LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A NEW JOURNEY HEALTHCARE AND SENIOR SERVICES is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DIVINE INSPIRATION HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AT EASE HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
OPEN ARMS HOME CARE AGENCY is a home care provider that services in Sumter, SC. 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,...
HEALING HANDS IN-HOME CARE LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mcleod Loving Care - Sumter, SC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INFINITY HEALTH AND WELLNESS SOLUTIONS LLC is a home care provider that services in Sumter, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kimbell Home Care has been in business since 2007 and provides care for the Elderly and Special Needs. We would take the stress off of the client and Family. We want to make the in-home care experience stress-free. Each...
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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.