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:
Geras Home Care Services LLC is a dedicated provider of home care services, focused on delivering high-quality, personalized care to individuals in the comfort of their own homes.
Heart 2 Heart Home Care Agency provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and...
KeyState Home Health is guided by integrity, empathy, and excellence in all aspects of care. We are passionate about making a positive impact on the lives we touch, offering peace of mind to families, and supporting our...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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...
YourVision Home Care is more than an agency; it's a promise of compassionate support, fostering a sense of belonging, and enriching the lives of those we serve. With open hearts and skilled hands, we embark on this...
Discover the Senior Helpers' Difference. At Senior Helpers, compassionate care and dedicated service can make all the difference in the lives of seniors and their families. Our owner, Kevin Herman, embodies this...
The entire professional care team at Amada Senior Care Philadelphia West Suburbs understands the importance of quality senior care that helps aging adults thrive and live safely and independently. Choosing the right home...
Our partnership approach to home care ensures your loved one’s needs are always a priority and always greeted with a smile. You can trust in your loved one’s health, happiness, and care thanks to our talented and...
There comes a time in each of our lives when we or our loved ones need medical assistance. If you or your loved ones are facing health problems, be they temporary or chronic, it may be time to reach out for help. Hattie...
At Newtown Caregiving Services, our mission is to provide compassionate and reliable home health care services to our clients. We strive to improve their quality of life and help them maintain independence in the comfort...
Receptive Home Care is a leading provider of compassionate and professional in-home care services, dedicated to enhancing the quality of life for individuals who require assistance with daily activities.
Exact Home Care provides reliable and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship, ensuring...
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...
Providing Quality Care in Philadelphia Peaceful Hands Home Care is a locally owned and operated home care agency that provides quality care to seniors and adults with disabilities in the Philadelphia area. We offer a...
For those who wish to age peacefully or recover in a comfortable and familiar environment, HomeWell Care Services is committed to bringing you the highest quality of non-medical care and everyday support wherever you call...
Age in Place - Philadelphia/Montgomery Region is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BFRIN Home Care is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EDEN HOME CARE LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greater Love Home Care of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mission Statement Delight Human Services LLC is committed to providing an ethical living environment for their staff, individuals, and their loved ones. As the saying goes “love is life”, we are committed in providing...
Preferred Care at Home of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nova True Homecare, LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Who We Are Non Medical Home Care Experts Here to Serve You AD Homecare is the most Reliable, Trustworthy Home Care Agency Service in Philadelphia Area — providing excellent home care solutions to seniors and...
We are committed to improve the quality of life of each patient by delivering ultimate health care and support services geared toward an individual care facility focusing on mind, body, and soul.
DIALLO HEALTH CARE SERVICES is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passion Home Health Care is a home health care agency in Upper Darby, Philadelphia. We are licensed to provide home care services in Philadelphia County, Delaware County, Montgomery County, Chester County, and Bucks...
Udy Home Care Services LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rabbi Home Care, Inc is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royal Special Care, LLC, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Mission of the Health Angels Home Health Services LLC is to enable patients under our care to live independently and retain a sense of freedom of choice as they age. Our specialists work closely with the patient,...
Continuous Home Care Inc is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a trusted home care agency in Upper Darby, Pennsylvania. We are a privately owned and operated provider, serving the counties of Montgomery, Philadelphia, Bucks, Chester, and Delaware. Our home care services cater...
Our mission is to provide support and excellent care to seniors who face various challenges of aging, and to children who wish to improve their overall quality of life. Through carefully-designed services, our team of...
Premier Care and Staffing Services, Inc. of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
CARE FIRST NURSING, INC. is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
UNIVERSAL FAMILY HOME CARE is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our home care agency provides essential in-home support services to seniors and individuals with disabilities, helping them maintain independence and quality of life. We offer assistance with daily activities such as...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Modern Health Home Care is a premier home care agency established to provide the Highest Quality Care to our clients. Our staff shares a deep-rooted commitment to compassionate and attentive care. We take great pride and...
Geras Home Care Services LLC is a dedicated provider of home care services, focused on delivering high-quality, personalized care to individuals in the comfort of their own homes.
Heart 2 Heart Home Care Agency provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and...
KeyState Home Health is guided by integrity, empathy, and excellence in all aspects of care. We are passionate about making a positive impact on the lives we touch, offering peace of mind to families, and supporting our...
A Tradition of Homecare Excellence Griswold Home Care is a non-medical homecare company. We refer Caregivers who provide personal care, homemaking, meal preparation, companionship, incidental transportation and other...
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...
YourVision Home Care is more than an agency; it's a promise of compassionate support, fostering a sense of belonging, and enriching the lives of those we serve. With open hearts and skilled hands, we embark on this...
Discover the Senior Helpers' Difference. At Senior Helpers, compassionate care and dedicated service can make all the difference in the lives of seniors and their families. Our owner, Kevin Herman, embodies this...
The entire professional care team at Amada Senior Care Philadelphia West Suburbs understands the importance of quality senior care that helps aging adults thrive and live safely and independently. Choosing the right home...
Our partnership approach to home care ensures your loved one’s needs are always a priority and always greeted with a smile. You can trust in your loved one’s health, happiness, and care thanks to our talented and...
There comes a time in each of our lives when we or our loved ones need medical assistance. If you or your loved ones are facing health problems, be they temporary or chronic, it may be time to reach out for help. Hattie...
At Newtown Caregiving Services, our mission is to provide compassionate and reliable home health care services to our clients. We strive to improve their quality of life and help them maintain independence in the comfort...
Receptive Home Care is a leading provider of compassionate and professional in-home care services, dedicated to enhancing the quality of life for individuals who require assistance with daily activities.
Exact Home Care provides reliable and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship, ensuring...
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...
Providing Quality Care in Philadelphia Peaceful Hands Home Care is a locally owned and operated home care agency that provides quality care to seniors and adults with disabilities in the Philadelphia area. We offer a...
For those who wish to age peacefully or recover in a comfortable and familiar environment, HomeWell Care Services is committed to bringing you the highest quality of non-medical care and everyday support wherever you call...
Age in Place - Philadelphia/Montgomery Region is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BFRIN Home Care is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EDEN HOME CARE LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greater Love Home Care of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mission Statement Delight Human Services LLC is committed to providing an ethical living environment for their staff, individuals, and their loved ones. As the saying goes “love is life”, we are committed in providing...
Preferred Care at Home of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nova True Homecare, LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Who We Are Non Medical Home Care Experts Here to Serve You AD Homecare is the most Reliable, Trustworthy Home Care Agency Service in Philadelphia Area — providing excellent home care solutions to seniors and...
We are committed to improve the quality of life of each patient by delivering ultimate health care and support services geared toward an individual care facility focusing on mind, body, and soul.
DIALLO HEALTH CARE SERVICES is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passion Home Health Care is a home health care agency in Upper Darby, Philadelphia. We are licensed to provide home care services in Philadelphia County, Delaware County, Montgomery County, Chester County, and Bucks...
Udy Home Care Services LLC is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rabbi Home Care, Inc is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royal Special Care, LLC, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Mission of the Health Angels Home Health Services LLC is to enable patients under our care to live independently and retain a sense of freedom of choice as they age. Our specialists work closely with the patient,...
Continuous Home Care Inc is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a trusted home care agency in Upper Darby, Pennsylvania. We are a privately owned and operated provider, serving the counties of Montgomery, Philadelphia, Bucks, Chester, and Delaware. Our home care services cater...
Our mission is to provide support and excellent care to seniors who face various challenges of aging, and to children who wish to improve their overall quality of life. Through carefully-designed services, our team of...
Premier Care and Staffing Services, Inc. of Upper Darby, PA is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
CARE FIRST NURSING, INC. is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
UNIVERSAL FAMILY HOME CARE is a home care provider that services in Upper Darby, PA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our home care agency provides essential in-home support services to seniors and individuals with disabilities, helping them maintain independence and quality of life. We offer assistance with daily activities such as...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Modern Health Home Care is a premier home care agency established to provide the Highest Quality Care to our clients. Our staff shares a deep-rooted commitment to compassionate and attentive care. We take great pride and...
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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.