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:
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
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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...
BlueSea Care is a cutting-edge thought leader in non-medical in-home care for seniors. Our focus is an emphasis on compassion, respect, wellness, and purposeful engagement. Our mission is helping your loved ones stay...
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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...
Choosing the right home health care services provider is important. You and your family deserve to be treated with dignity, respect, and love when you require assisted home care, dementia care, hospice care,...
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.
Cornerstone Caregiving is proud to serve Santa Monica and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Hand Homecare Provider, Inc., is a professional and non-medical agency that provides home care in Canoga Park, California, committed and dedicated to providing care that you can count on in the comfort of your own home....
Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in West Hollywood, Century City, Beverly Hills, Miracle Mile and surrounding areas. At...
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...
What sets us apart from other companies is our specialization in live-in care. Unlike higher-cost agencies that primarily offer hourly services, we focus on providing continuous, dedicated support that enhances the...
We provide complete support, so your loved one can continue living safely and comfortably at home & our Facilities. Our team tries to give the best resources to provide the utmost happiness to our elderly guests no...
lpers® Home Care we offer personal care & companionship care. We assist with elderly care and the basic activities of daily living like hygiene, cooking, mobility, errands and light housekeeping to help your loved one...
Experienced, Loving & Caring At Amar Care, we understand that choosing care for yourself or a loved one is an important decision. Our compassionate and experienced caregivers are here to provide dependable,...
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...
Caring joy homecare delivers compassionate, dependable in-home support that promotes comfort, dignity, and peace of mind. Caregivers provide personalized daily assistance and uplifting companionship—helping clients feel...
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...
A Caring Place was started to help people with the best quality care in their home versus in a nursing home. In this way, we offer dedicated one-on-one care of your loved ones. This means more time and energy can be put...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Perfect Fit Home Care is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sometimes a loved one needs a little extra help with their day-to-day activities. At Vitale Nursing, Inc. (VNI), our fully screened and certified care professionals assist our clients with those daily tasks that require...
Mark Alton Care is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alleva Home Care is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Wright Home Care, Inc. is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
California Caresource, LLC is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help At HomeCo LLC provides compassionate, dependable in-home care services throughout Los Angeles, helping seniors and individuals maintain independence, dignity, and comfort in the safety of their own homes.
Beverly Hills H H Care, Inc is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Universal Home Care, Inc is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Agency Unique Name is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Better Way in Home Care is dedicated to enabling your elderly loved one to receive the best-quality in-home care. To make sure our mission and objective are achieved, we carefully select the caregivers and refer the one...
We are the "Accessible Health Care of LA Valleys" one of the premier, full services, multi-state home health care providers, with a local operation based in Canoga Park CA, and many others across the United States. We are...
DUPLICATE 1Heart Caregiver Services of Beverly Hills, CA is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
ALO CARE SERVICES INC is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The decisions you must make about caring for your loved ones as they reach their golden years are some of the most important, and most difficult, that you’ll ever face. That’s why 1Heart Caregiver Services is the best...
Allsupreme Home Care is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SIGNATURE HOME HEALTH CARE, INC. is a home care provider that services in Beverly Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In memory of our mom, Livewell Private Care continues to provide the loving, professional and tender care that families have come to expect from our Livewell brand. Our focus is on hiring and placing the most qualified...
Acti‑Kare of Beverly Hills provides high‑quality, compassionate home care for seniors and individuals who need support in daily living. We deliver care in a variety of settings, including private homes, assisted living...
Complete In-Home Care (CHC) offers a full range of assistance for adults who want to remain in their homes as they age. We provide non-medical support, skilled practitioners in all areas of nursing, and a customized plan...
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...
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....
A Rainbow of Care, HC is a trusted home care agency in Southern California, specializing in non-medical caregiving services for individuals with diverse needs. Our dedicated team is committed to ensuring our clients...
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...
In Home-Care Overview – Description When a loved one can no longer be safely alone, families need more than just a few hours of help they need a structured plan they can rely on. We specialize in comprehensive in-home...
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.