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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.*
✔
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:
Cornerstone Caregiving is proud to serve Woodstock and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
Wisba Home Care and Professional Career Center With over 20 years of experience in compassionate healthcare, Wisba Home Care and Professional Career Center is a trusted provider of personalized home care services....
Kind Hands Loving Heart Private Home Care Agency specializes in compassionate dementia and memory care in the comfort of home. Led by Administrator Kadian Facey-Martin, who brings over 18 years of healthcare experience,...
Agate Home Care works with families to provide dependable and compassionate home care for people of all ages. Agate Home Care is family owned and locally operated. We value your family as our own. Agate is a...
We know no better place can provide the convenience and warmth of a home. Hence, we offer a broad range of services so patients and loved ones can receive the help they need with the assistance of our skilled and reliable...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
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...
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
Quality in-home care because life happens at home. We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a...
Rooted in Family. Driven by Purpose. GoldenPeach Companions was founded by U.S. military veteran Carl Brewer with one goal in mind: to deliver the kind of care every family deserves. Inspired by his own experiences, Carl...
Founded in 1999, 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 the disabled. SYNERGY HomeCare, a...
Discovery Homecare provides personalized in-home care services tailored to meet the unique needs of each individual client. Our team of dedicated caregivers is committed to enhancing the quality of life for our clients...
Favor Health Care Services LLC, Compassionate In-Home Care Services At Favor Health Care Services LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
At Reach Angels Home Care Agency, we aim to provide quality non-medical assistance to our clients by protecting their comfort, safety, and well-being by making their homes a safe and loving environment. We aim to...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
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...
KSL Homecare Agency LLC is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ADAMS CAREGIVERS LLC is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Head To Toe Senior Care, L.L.C. is licensed in the State of Georgia as a Private Home Care Provider. We offer non-medical services primarily to senior but we also provide care to non-seniors as well. Our services...
Helsim Services LLC is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Savannah Grand offers gracious hospitality in a comfortable and elegant atmosphere. The community features a lovely courtyard and spacious porches that have become enjoyable meeting places for residents. The quaint and...
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...
Community Home Health, An Amedisys Company is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Over 80 Years of Combined Caregiving Experience With dozens of caregivers, we have a wealth of knowledge in the home care industry and experience dealing with almost any situation that someone might face while navigating...
Three T'S Home Services LLC is a home care provider that services in Woodstock, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home Woodstock provides a range of in-home care options for seniors and adults with disabilities. Right at Home’s trusted and reliable caregivers are trained to assist with all types of needs and to deliver an...
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.