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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.*
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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:
FirstLight Home Care of Flower Mound provides personalized in-home care services to seniors, veterans, individuals with disabilities and adults recovering from illness or injury in Flower Mound, Lewisville, Carrollton,...
Home Care Assistance is the leading home care provider for seniors in need of living assistance while in the comfort of their own homes. Our mission is to provide the best home care services and other specialized service...
At SYNERGY HomeCare, a non-medical home care agency, we provide much needed respite and personal care, as well as compassion and companionship for the elderly, or those recovering from illness, surgery, or childbirth and...
We Provide Care That Keeps You Safe at Home When a loved one becomes weak, recovering from illness, or at risk for falls, home can suddenly feel unsafe and overwhelming.
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...
Focused on helping you or your loved ones remain safe and independent in their familiar surroundings, in-home care includes professional services ranging from companionship to skilled nursing*. Our experienced and...
Senior Care Transitions, LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
Our mission at Home Care Assistance is to change the way the world ages. We provide older adults with quality care that enable them to live happier, healthier lives at home. Our services are distinguished by the caliber...
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
At A Better Solution In Home Care, we believe that aging, recovering, or living with a disability should never mean losing comfort, dignity, or independence. Founded with a deep commitment to compassionate service, we...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
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...
At Seniors Helping Seniors® in-home care services, we understand and appreciate the unique challenges that come with age. That’s why our companionship and daily assistance offerings exclusively focus on the specific needs...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Lewisville or in surrounding areas of Denton County. Our trusted Lewisville staff can’t wait to...
Comfort Keepers of Trophy Club, TX is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Madinah Home Care LLC is to provide older adults with quality care that enables them to live happier, healthier lives at home. The physical, emotional and lifestyle adjustments brought on by maturing is...
ACIGNA HOME HEALTH SERVICES INC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ptm Healthcare Services, Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carmel Health Care Services Pllc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Patterson Path Health Care LLC is a home care provider that services Irving, TX 75039. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
Jessnic Home Health Agency Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hanstel Home Health is a dedicated home care agency committed to providing compassionate and high-quality healthcare services to individuals in the comfort of their own homes.
ComForCare Home Care of Irving, services and compassionate caregivers help older adults live independently in their own homes and continue to do all the things they love. We do not just assign caregivers to a job. We...
Companion Care For Seniors is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Good Shepherd Health Care Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Good Samaritan Home Health Agency is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our goal is to enhance our clients comfort and quality of life in a 24-hour support setting, allowing them as much control over their social and physical surroundings as possible. We strive to build long-lasting...
CHARITY COMFORT CARE SERVICES, LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grace Unlimited is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lone Star Home Health Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rosyray Home Care Services Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Saints Home Health Services LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sakina Care LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We specialize in daily care and we are here to help! The core values of Comfort Home Care are based on dedication to meet the needs of each individual client by providing compassionate care that creates an atmosphere of...
Amber Home Health Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precision Home Health Care is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrity Home Health Care Services is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
National Health Service Corp is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Everest Home Health Care Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anders Group, LLC is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ideal Home Health Inc is a home care provider that services in Irving, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell Care Services, we provide hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable Care Managers...
Trusted care means peace of mind. Taking that first step in finding a home care provider can be a stressful decision. With HomeWell Care Services, you know you’re making the right decision.
At Cloud9 Private Caregivers LLC, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
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...
Angels Providing Care focuses on making sure that your loved one is valued and taken care of. We provide high quality care from assistance of activities of daily living to companion care.
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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.