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:
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
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Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Providing quality in-home care at affordable rates since 1989. Assistance in personal care including help in bathing, showering, dressing, grooming, meal preparation, medication reminders, companionship, transportation to...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Options for Senior America - Gaithersburg, MD is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At GLIMS Home Healthcare Services LLC we provide support and assistance in the comfort and familiarity of one's own home for individuals who need help with daily activities due to age, illness, injury, or disability. We...
Capital City Nurses CHC- Local/DC is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gifted Hands Home Care LLP is a compassionate and reliable home care agency dedicated to providing exceptional in-home care services for individuals in need of assistance with daily activities.
Choosing Rmds Healthcare Services LLC means choosing excellence, compassion, and a commitment to your well-being. We stand out for our unwavering dedication to providing healthcare that revolves around you – your needs,...
Grace and Mercy Healthcare Services LLC is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrated Care Management is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ADEM LifeCare Inc is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mercy Health Services is a home care provider that services Prince George's Montgomery, Baltimore, Baltimore (city), Anne Arundel and Howard, MD. Home care services allow seniors to remain safely in their own home while...
Always Reliable Homecare is a leading provider of home health care services in Upper Marlboro, MD, committed to offering dependable and professional care to individuals who prefer to remain in the comfort of their own...
Anchor Home Health Services, LLC - Upper Marlboro, MD is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
At Divine Hands Healthcare Services Inc., we believe true care is guided by the heart. Our skilled caregivers provide individualized support—from daily living tasks and medical reminders to compassionate...
Faithful Comforters LLC is a compassionate, client-focused company dedicated to providing exceptional care and support services. Specializing in personalized caregiving solutions, the company offers a wide range of...
I B & K Healthcare Solutions is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Dewis Healthcare LLC, we are a non-medical home care agency based in Upper Marlboro, Maryland, dedicated to enhancing the quality of life for individuals in our community. Our compassionate caregivers provide...
We aim to exceed our client's expectations for customer service by recruiting highly qualified nurses and specialists who can address their unique health care needs.
Who we are Grace Line Nursing is a client-oriented agency guided by the business values of service excellence, integrity, and compassion. We are your trusted partner in delivering ideal healthcare staffing and nursing...
Family And Friends Health Care Inc is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Core Belief Our patients and residents are the centers of our care and services. Our employees are the bridge between Beta Healthcare & Staffing Solutions Inc and our patients/residents. They are our most valuable...
Distinctive Home Care Inc - Largo is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Call of Prince George County is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We focus on promoting independence and improving quality of life in a safe, comfortable environment. At Compasscare, we believe in building strong relationships with our clients and their families, offering peace of mind...
HIRE A COMPASSIONATE TEAM TO CARE FOR YOUR LOVED ONES IN LARGO, MARYLAND Bringing in outside help for an ailing loved one can be a difficult decision—after all, you can’t leave a family member with just anyone. Love One...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
Gosheni Healthcare Services is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home health care is who we are and what we do, and we know that there is no safer place to be than home. That is why we tailor each of our in-home care services to meet the needs of each client wherever they may reside....
Cekob Corporation is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MEDSA Healthcare is a licensed, Maryland-based provider committed to enhancing lives through quality care. With over a decade of experience, we specialize in supporting individuals with intellectual and developmental...
Nurturelink is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hajmoud Homecare Health Agency LLC is a home care provider that services Upper Marlboro, MD 20772. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Manor Residential Services is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand the difficulties you may face when living independently and recovering at home. That is why we commit ourselves in providing convenient healthcare services in Maryland, so you can heal safely in a...
Abundant Support and Care, LLC is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to bring an angelic care in the delivery of the highest quality residential health care and well-being services to patient's in the comfort of their home in compliance with Federal, State and local regulation.
Allure Mikado Healthcare is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Duplicate - Home Helpers Home Care of Upper Marlboro, MD is a home care provider that services in Upper Marlboro, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
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...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
Prestige Healthcare Resources provides personalized in-home care services to seniors at their own home or various settings; including hospitals, assisted living, independent living facilities, or where ever the individual...
Founded in 1966, Interim HealthCare is the nation’s first home care company and a trusted provider of home healthcare, personal care and support, hospice care and medical staffing services.
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
We are a certified care provider in Washington, DC, offering personalized, compassionate support through a team of experienced and diverse professionals. With a strong focus on safety, engagement, and attention to detail,...
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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.