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.
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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:
We Assist Homecare Services provides compassionate and personalized in-home care for seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily activities, medical support, and...
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Are you looking for a Los Angeles caregiver that you can depend on to provide your beloved family member with professional, thoughtful care? Fortunately, Homewatch CareGivers of West Los Angeles has nearly four decades of...
We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. Our high-touch, team-based...
Progress Home Health is a trusted provider of high-quality, compassionate in-home healthcare services. Dedicated to promoting wellness and independence, we offer personalized care plans tailored to each patient’s unique...
Our mission is to help you live your life to the fullest - in your own home- under your own terms. At Rose’s Agency Home Care we cover all aspects of comprehensive senior care. In keeping with our philosophy, every client...
At Cornerstone Caregiving, we provide dependable, compassionate, and personalized non-medical in-home care services that help individuals maintain independence and dignity in the comfort of their own homes. Whether you or...
CareWell is fully licensed, insured, and bonded, proudly serving families across Los Angeles and Orange County, delivering reliable, non-medical home care designed to support independence, dignity, and overall well-being....
Perfect Fit Home Care is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Nu Care is the perfect solution for seniors and others in need who are not ready to leave their home for an institutional setting, but need support to remain at home. We improve your life by providing compassionate,...
As the elderly population continues to grow, in-home senior care has become an essential service for many. This type of care allows seniors to age gracefully and comfortably in their own homes, ensuring they receive...
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...
Americano Home Healt Care INC is a certified home health agency in Tujunga, California providing compassionate in-home care. They offer nursing, therapy, aide services and personalized support to help patients recover and...
At Senior Helpers we are here to help anyone we can. No matter how big or how small the task-- our goal is to keep your loved ones safe, maintaining or enhancing their quality of life.
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Finding an experienced and compassionate caregiver for an elderly relative or friend is a serious responsibility. You want someone who is professional but friendly and who is a good match with personality traits. It might...
At FirstLight Home Care of Whittier, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
At Enriched Hearts Home Care, it’s our mission to enrich the quality of life of our clients by providing customized and compassionate care by well-trained and empathetic caregivers.
As the owners of Amada Senior Care Los Angeles and Pasadena, Patrick, Christy and Richard D. Babcock, Ph.D., have set the highest standard of care for seniors living in Pasadena, Glendale and surrounding Los Angeles areas...
Welcome to Minoru Home Care, Inc. You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Welcome to Caring Hands Senior Care, LLC You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care...
Without a doubt, having a high-quality staff is the single most important aspect of good in-home care and support. At Stream of Sunshine Caregivers, quality staff means more than just having the skills needed for the...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
Lina Lopez and Maria Adelaida, the owners of Amada Senior Care in West Long Beach, California view their role as part of a larger commitment to our population of cherished seniors in Carson, Compton, Lakewood, Long Beach,...
Cornerstone Caregiving is proud to serve Central Los Angeles and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing...
At Synergy HomeCare of Santa Monica, we believe home care is a deeply personal partnership. Since opening our doors in 2023, we have set a new standard for excellence in Los Angeles by combining elite operational...
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...
Attentive Services Home Health Inc is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregiving For You, Inc. is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALLIANCE CAREGIVING AND STAFFING SOLUTIONS, LLC is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Your Leisure is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Providers, Inc is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring, Assisting, Respecting the Elderly At CARE Homecare we lead recruiting efforts to attract and hire extraordinary talent to best serve older adults in their own home. We hire for heart, and provide skill-set...
C S Homecare Service LLC is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers of North Valley, we are committed to providing personalized, compassionate care that meets the needs of both seniors and their families. We believe that everyone deserves to age with dignity, purpose,...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
HomeWell Care Services of (Manhattan Beach) Torrance, CA is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We our licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
1Heart Caregiver Services is a senior home care agency specializing in caregiving services to the elderly and other adults who do not need nursing home care but do require some assistance in meeting their healthcare...
At Golden Years Home Care Solutions Inc – San Diego, our mission is to provide compassionate, personalized, and dependable home care services that empower seniors and individuals with disabilities to live safely,...
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...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
Senior Helpers West Los Angeles was founded in 2005 and acquired by Ted Pappas in 2011. Ted was drawn to the mission of helping seniors in West LA live safely and independently in their own homes for as long as possible....
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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.