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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:
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
We provide both medical and non-medical service so we can adapt to your changing needs. We strive to have the most competitive rates in the region. If you are already receiving private duty home care, please contact us...
Your nearest All Ways Caring office is your gateway to all of our quality services, programs and support. Each local office provides the staffing, resources, commitment and experience to ensure that your loved one can...
Maurina Homecare Agency was founded by a Family Nurse Practitioner and a military servicing member. Having worked in the healthcare field, I have witnessed the essence of providing high-standard care in the comfort of...
At Priority Home Care, we understand that each individual has unique needs and preferences. That’s why we’re committed to providing personalized solutions tailored to you or your loved one. Our dedicated team of...
We Are Raising the Bar for Quality Care Full Heart Home Care delivers exceptional companion and personal care services for discerning clients and their families.
Quality, trust and compassion are the foundations of 4 Seasons Home Care. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Senior Helpers of Marietta places a priority on creating safe, caring and compassionate environments for all clients, while providing ongoing communication and follow-up plans which offer peace of mind for family members....
Our team of experienced healthcare professionals, including registered nurses, social workers, and certified nursing assistants, is available 24/7 to support you and your loved ones. We believe that access to quality...
Every Alpharetta family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy daily...
GRISWOLD SPECIAL CARE The World’s Oldest Multinational Non-medical Homecare Company Trusted Homecare at Affordable Rates GRISWOLD SPECIAL CARE refers Caregivers who provide companionship, homemaking, and personal...
Charlotte Web Private Home Care, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Amada Senior Care Atlanta, we constantly look for ways to bring enjoyment to clients’ lives by making even the most common tasks and activities special. Our in-home caregivers form close bonds with clients as well as...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
Senior Helpers - North Metro Atlanta is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Sandy Springs, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MBC Care Agency is dedicated to providing compassionate and personalized non-medical in-home care services to enhance the quality of life for our clients in Marietta, GA. Our mission is to promote independence, dignity,...
ATC Healthcare has over 30 years of experience, and we are here in the greater Atlanta area to help you find the right healthcare staff. We provide a professional recruitment staff with years of experience in the...
“One Call” Service: We coordinate all aspects of care from the caregiver to medical equipment. We also work closely with other senior services to relieve you of the burden of coordinating multiple services. It’s a...
Home care unlike any other. Qualicare is your family’s partner for personalized home care. Whether the need for home care has been growing over time or your loved one’s circumstances have changed overnight, you’ve got...
INSPIRED HOME CARE LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ElderCare Companions provide the highest quality personal care for elderly and disabled adults where their quality of life is enhanced while minimizing the change of their daily routine and focusing on their safety and...
Our home care services and compassionate caregivers help older adults live independently in their own home and continue to do all the things they love. We do not just assign caregivers to a job. We match our caregivers...
CORNERSTONE HEALTHCARE SERVICES, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kay’s Homecare Services, Inc is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrity Healthcare Agency is committed to providing care for the young or elderly to be able to live independently in the comfort of their homes. We encourage our staff to embrace enablement and help the young or...
His Precious Hands LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Freeman Home Care Agency LLC, we cater to all individuals requiring frequent light duty and companionship assistance. At-home care may be a great option for geriatric, cancer, maternal, and post-operative patients who...
BrightStar Care of Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B&M Caring Hands LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AccordCare- Atlanta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Docs Healthcare of North Georgia is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Bright Rose Home Care, we serve clients in many counties in Atlanta, Georgia and surrounding areas. We are a non-discrimination organization that seeks to assist your loved ones at home, and is committed to delivering...
Amada Senior Care of North Atlanta - Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Encore Medical In Home Nursing Care is devoted to enhancing the quality of life by delivering compassionate services to all of our clients and consumers by providing skilled and non-medical care at home from our highly...
Bridgewell Homecare Services LLC provides a range of home care services to assist individuals with daily living activities. The company's offerings include homemaker services such as laundry, meal preparation, and...
Its Home LLC is a trusted home care agency based in Atlanta, Georgia, providing personalized and compassionate care services to individuals in the comfort of their own homes.
Home Matters Caregiving of North Atlanta is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Marietta, GA is a home care provider that services Woodstock, GA 30189. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
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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.