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.
✔
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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HomeWell Care Services of Tucson, AZ is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
About Seniors Helping Seniors® 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 through...
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Desert Bloom Companions is a family-owned and operated home care agency dedicated to providing compassionate, personalized in-home support with dignity, reliability, and heartfelt care that helps seniors thrive safely and...
Embrace In-Home Care, Compassionate In-Home Care Services At Embrace In-Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our...
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CareMinders Home Care is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Life Care at Home is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace Health Care Services, Inc is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mga Home Healthcare, Llc -Tucson is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In Touch At Home Tucson, AZ is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers is a national leader in professional in-home assistance services. We provide dependable, consistent, and affordable care services to our clients and their families. At Senior Helpers, we specialize in...
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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...
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At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
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Reliable Nurses, Llc is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AdvisaCare of Tucson is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dependable Home Health, Inc is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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We are a home care agency in Tucson, AZ, that is dedicated to delivering exceptional quality care and making sure all of your loved one’s safety and personal care needs are met. Home Care for the 21st Century is not only...
Northwest Healthcare Home Health is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a provider of non-medical home care in Tucson, Oro Valley, Marana and Southern Arizona. We are locally owned and operated. Our staff comes with over 30 years of diverse Non-medical home care experience Our passion...
Senior Helpers is dedicated to the mission of assisting our senior clients to age safely in place at home- where they prefer to be. To the families we serve, maintaining the independence and dignity of their loved ones is...
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...
FirstLight is About People, Home Care is Not a Career, It’s a Calling We know your first priority when choosing a home care provider is finding someone you can trust and rely on… someone who will care for your loved...
Our trusted Tucson staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at La Hacienda, or if they would prefer to watch a movie at home every evening after dinner. They might not...
Our leadership team holds decades of expertise in the senior home care industry. Their passion for this field has motivated them to design an organization that prioritizes consistent, dependable care standards for you and...
Jordana Masserman is a veteran in the home care field, with over 10 years of owning and operating locations in New York and Phoenix. She brings her fresh face and care focused experience to the great Southwest in Tucson...
Running a Tucson home care agency has truly been a rewarding experience. While obtaining a Degree in Social Work from the University of Wisconsin-Oshkosh, Margie’s career began with an internship at a local nursing home...
Total Care Connections is Arizona’s premier locally-owned provider of compassionate Home Care & Assisted Living. Since 2009, our team has provided high quality care to thousands of people throughout the Tucson region, 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.