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.*
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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:
As a national leader in home health care, Bayada's mission is simple: to help people live with comfort, independence, and dignity through compassionate, expert care. Every member of our team shares a deep passion for...
When a loved one begins struggling with daily tasks, mobility, memory loss, or recovery after an illness, waiting for a crisis can put their safety and independence at risk. Assisting Hands Home Care of the Midlands...
Whether your needs are simple or challenging, Solutions for Living at Home can help you live a happier life by providing high quality assistance and care to individuals of all ages and varying circumstances. We are a...
Hands and Hearts Home Care - West Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ida Mae Homecare Services is a compassionate, client-centered home care provider dedicated to helping seniors and individuals with disabilities maintain their independence, dignity, and quality of life in the comfort of...
As your parents and grandparents age, they may want and need additional companionship and help around the house. Home Instead® in Metro Columbia, SC offers many different types of in-home care that can be individualized...
Senior Helpers of Lexington, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through Homewatch CareGivers Total Care Solutions™, we provide service offerings that combine compassionate in-person caregiver services with secure, modern home care technology to connect our clients to their family and...
Homewell Care Services of Lexington provides compassionate in home support designed to help you stay safe, comfortable, and independent where you feel most at ease. Caregivers assist with daily activities, meals,...
Your Well-Being, Our #1 Priority At Heart of Love Home Care, personal care isn’t just a service—it’s our promise. We are dedicated to providing compassionate, individualized care that prioritizes your comfort, dignity,...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Carolina Home Health Care is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Providence Home Care Ministries Inc. is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fostering strong relationships with our clients and their families is at the core of everything we do. Our friendly and professional team of care coordinators work hard to ensure they find the right care giver for each...
Graceful in Home Care is dedicated to providing all of your home care needs. Home care is designed to enrich the lives of families in transition. When you hire a home care company, you are not just helping with daily...
PRECIOUS HOME CARE SERVICES is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Private Duty Sitters is a home care provider that services Columbia, SC and surrounding counties. Home care services allow seniors to remain safely in their own home while receiving assistance with personal...
Bell's Home Care Professionals - Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care That Counts Caregiver Services LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hardy at Heart Home Care, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TheKey Corporate - Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Palmetto Health Homecare is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANDERSON HOME CARE of Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide a range of senior care services and home assistance. From companionship to errands and groceries, our highly-trained team can support your loved ones in the comfort of their own home.
Integrity Home Care LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anderson Home Health Care- Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Marcia P. Hughes and Marilyn A. Snooks are co-owners of Helping Hands Caregivers, LLC. They have been providing home care service in the Columbia and surrounding areas since August 2005. Mrs. Hughes and Mrs. Snooks have...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Tri County Home Health is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Health Mission Is to build relationships in our community with each individual, their families, and our employees. We will help our clients maintain and improve their independent living skills while receiving home...
Senior Matters - Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at Avodah Home Care We specialize in 24-Hour Home Care, Skilled Nursing Care, Companion Care at Home, Hospice Support, Hospital to Home Care, Personal Care at Home, and Respite Care. Also ask us about our Dementia...
Affirmative Home Care is a leading provider of comprehensive home healthcare services, dedicated to enhancing the quality of life for individuals who require medical and non-medical assistance in the comfort of their homes.
Essential Home Care Services is a home care provider located in Columbia, SC. Tiana has been in the healthcare industry for over 7 years. Tiana and her caregivers are passionate about providing quality personal and...
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...
APSF Seniors Benefit Services, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Matters is the premier provider of geriatric and disability care management, legal guardianship, as well as caregiver/companion services in the Columbia and surrounding areas. For non-medical services needed,...
DUPESeniors Helping Seniors - Greater Columbia Area, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Flourish Hands Healthcare Solutions, LLC can customize care to meet all your loved one’s specific needs. Our services are organized to provide comfort care so your elderly loved one can continue to live in their...
Carolina Health Care Columbia is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our vision is to be a leading home care provider known for excellence, compassion, and innovation, setting the standard for quality care in every community we serve.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Columbia or in surrounding areas like Forest Acres, West Columbia, or St Andrews.
Pathway Health & Wellness, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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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.