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:
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
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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...
Life is Better with Villi of Dallas, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
At Amada we understand that caring for relatives can be rewarding but also stressful, time consuming and emotionally exhausting. It is difficult for families to juggle work, children and other obligations and still find...
HomeWell Care Services of Plano, TX, is a full service in-home care firm serving the larger North Dallas, TX, area. HomeWell Plano was built by caregivers who cared for their parents before and after joining the in-home...
Senior Helpers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that home care needs extend beyond the traditional work hours of 9 to 5. That's why our North Dallas team is available 24/7 to address any questions or concerns that you might have. Reach out to us any time...
Hello! We are Marshall & Kacy Oden and we would like to welcome you to the Griswold Home Care Office of Garland, TX. We independently own and operate the Garland office and are very proud to offer affordable, high...
Our mission at Ambience In-Home Care is to ensure seniors maintain happy and healthy lives in the golden years. We provide older adults with high-quality home care in Richardson that enables them to continue living at...
At Care Mountain, we specialize in elder care at home. We take the time to understand every individual’s unique care needs and develop a personalized multidisciplinary care plan that involves experienced caregivers,...
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...
Compassionate and Personalized Home Care in Rockwall Navigating the journey of caring for aging loved ones can be daunting and overwhelming. At Cornerstone Caregiving Rockwall, we specialize in providing compassionate,...
At Renew LaFleur Home Care, our goal is to provide compassionate and comprehensive care customized to your needs. Whether it’s through our Home care services, Memory care services, Pre and Post-Operative care, Plastic...
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
ParisCare Home Health Agency LLC is a non-medical home care provider dedicated to delivering compassionate and personalized support to individuals who need assistance with daily living activities. Our mission is to...
To provide professional, compassionate and personalized home health care services to our clients that empower individuals to maintain their independence and improve their quality of life. We are committed to delivering...
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...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
We provide basic personal everyday activities, including tasks such as eating, toileting, grooming, dressing, bathing, and transferring. We also provide services including meal planning and preparation; managing finances;...
Applecare Home Health Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for aging parents and loved ones can be a challenge, especially while working to maintain your own family and work responsibilities. Integrity Home Care is proud to provide caring services when you are unable to be...
Healthy Choice Homecare Llc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
J Shalom Home Health Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We care compassionately! Emma's Home Care is the PREMIER senior care provider in the Dallas Metroplex area. Emma’s Home Care provides non-medical care and companionship that allows our clients to choose to maintain...
Legacy Home Health Care is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First Choice Childrens Homecare is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heilan Care, LLC is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your Home Health Experts. Quality Care You Can Trust. Getting over a particular injury or need some home care from a certified practitioner? Since 2021, our team of professionals have made themselves readily...
Americansenior is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care is the go-to home and senior care provider in Plano, TX! Our quality caregiving solutions are perfect for the elderly, those recovering from surgery, or anyone needing help with personal care or daily...
Caring Senior Service is a trusted homecare choice for seniors and their families in the area. Read more about our homecare services for this area. Caring Senior Service offers services, education and safety care...
Cornerstone Caregiving is a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Frisco or in the surrounding DFW metro area.
It all starts with family. The company was founded in honor of Dede’s 10-year struggle with Alzheimer’s disease. Our 3-pronged approach to home care – highly trained caregivers who are managed by RN Care Coordinators...
Christian Servants Home Care is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There is no higher priority to our NolasHands Family than the safety of our clients and caregivers. We aim to keep all of you out of harm's way and to support you through this challenging time.
AccuAid Care Services provides companion care, personal care, respite care, and dementia care wherever older adults need it. Whether you or your loved one needs help due to injury, illness, or age related decline, we are...
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...
We are committed to, not only making the patients lives better, but helping families of the patients with their stress as well. We ensure they can stop being the caregiver, and assure them that the very best care...
Monarch Senior Home Care provides in-home companionship and personal services supporting our local DFW Seniors with a wide range of care needs. Since 1995, our leadership team has been at the forefront of innovative and...
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...
C & C Caring Hands is proud to provide a high quality level of customer service, medical experience, and commitment to health and wellness to all our patients. Our experienced professionals put your healing needs first....
Comfort Keepers is the leading provider of customized home care services for Carrollton, Coppell, Lewisville, Flower Mound, Farmers Branch, and Addison. Our independently owned and operated Carrollton office provides...
At Griswold Home Care of Plano, our mission is to provide outstanding home care services from outstanding caregivers. Griswold Home Care allows seniors to stay in the home that they love, while maintaining their...
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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.