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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.
✔
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:
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FirstLight Home Care of McKinney is a locally owned and operated home care agency dedicated to helping seniors and adults live safely, comfortably, and independently at home. Owners Kolawole and Lolade Akintade are proud...
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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...
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Helen's Home Care provides non-medical personal assistance for seniors and individuals in need in the Dallas–Fort Worth area — the everyday support that lets your loved one stay safely in the house they love.
One You Love Homecare provides senior in-home care services for your loved one. We pride ourselves on being one of the only homecare organizations that delivers what we like to call, “Always Caring Expertise.” Simply put,...
We are an in-home personal and companion care agency that has helped families all over Dallas and surrounding areas. We have a Personal Assistance Services License issued by the Department of Aging and Disability Services...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Carely Home Care is a trusted homecare agency proudly serving families across Texas with compassionate, reliable, and personalized in-home care services. Our mission is to enhance the quality of life for seniors and...
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Our path is simple- to make a difference to our clients while helping them achieve their best selves, providing best possible individualized care from people who truly care. We understand life has lots of journeys and...
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...
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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...
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BrightStar Care of Frisco & Carrollton, TX is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in North Dallas and surrounding areas. We understand your loved one deserves more than having...
Prayers Home Health Agency LLC is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Machris Home Health Services Inc is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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DUNAMIS CARE HOME AND ASSISTED LIVING LLC is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CLASS ACT HEALTHCARE SERVICES, LLC is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALMIGHTY HOME HEALTH is a home care provider that services in Frisco, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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...
Our Mission Protect dignity. Support independence. Deliver care families can trust. At Domira Home Care, our care philosophy centers on relationship-based, client-focused support that helps individuals remain safe,...
We deliver expert in-home care driven by a deep respect for our seniors—helping them live with dignity, safety, and independence. Stop worrying and start enjoying quality time. Our compassionate team is ready today.
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...
Comfort Keepers of Carrollton provides compassionate, customized in-home care services for seniors and disabled individuals throughout Carrollton and surrounding communities. Their trained caregivers offer companionship,...
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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.