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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:
Preferred Care at Home of Denton provides compassionate, reliable in-home care designed to help seniors age safely and comfortably in their own homes. With a focus on dignity, independence, and affordability, they connect...
When it comes to choosing an in-home senior care provider in Prosper, we know that you have many choices. CareBuilders at Home’s commitment to client engagement and safety, innovation, and quality services sets us head...
Home care enables you or your loved one to continue living in the comfort of home with assistance from a qualified home care provider. We respect the many factors and careful thought that go into making decisions for the...
Home Instead, Inc. began franchising in 1995. Today, the Home Instead® network has grown to include more than 1,200 franchises around the world. While our franchise network is international, our office is local. And to...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
Bent Schoellhorn opened the Senior Helpers Greater Dallas office in 2007 due to his commitment to delivering the best in-home care to seniors in the Greater Dallas community. Bent and his wife of 46 years consider it an...
Assisting Hands Home Care of Lewisville, TX provides personalized, non-medical in-home care designed to help seniors, veterans, and individuals with disabilities remain safe, comfortable, and independent in their own...
At H&M Personal Home Care, we understand the importance of maintaining independence and comfort in one's own home. Our dedicated team offers a range of services, including companion care, personal care, and respite care,...
CENC Care Services LLC, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their own...
HEART 2 HEART HEALTHCARE SERVICES LLC is a home care provider that services in Aubrey, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TN Healthcare is committed to assisting clients and maintain dignity at every level of care while providing personal care services with respect, honesty and integrity.
Our mission is to empower patients to achieve optimal health and well-being in the comfort of their own homes. We strive to deliver personalized care plans tailored to meet the unique needs of each patient, ensuring they...
Ringlife Home Healthcare LLC is a home care provider that services in Aubrey, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CCA Home Health strives to improve the quality of life for those we serve through compassionate care. We aim to transform the lives of every patient, every family, at every encounter.
ATHOME SOLUTIONS HEALTHCARE LLC is a home care provider that services in Aubrey, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jumax Health Care INC is a home care provider that services in Aubrey, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Supporting Your Wellness Journey We provide compassionate home health and hospice care tailored to each individual. Our dedicated team ensures patients receive support, comfort, and peace throughout their care journey.
LILIE HELPING HANDS HOMECARE, LLC is a home care provider that services in Aubrey, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empowering Health, Enriching Lives: Andover Home Healthcare is committed to delivering compassionate and personalized care to our clients in the comfort of their own homes. Our mission is to enhance the well-being and...
Life is in constant motion. From the time we smile our first smile, ride our first bike, find our first home or embrace our first grandchild, it just keeps moving. And a moving life is a full one. But sometimes, life can...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Home Helpers® Home Care is a home healthcare service that has been providing top quality in-home care for over 25 years. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your...
Artwing Healthcare Solutions is a licensed non-medical staffing agency, providing the highest quality and compassionate personalized in-home care for our clients in all counties across the Dallas Metroplex, NorthTexas,...
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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.