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:
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...
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Passionate Home Care, Inc. is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Our vision is to be a trusted leader in home care services, recognized for delivering compassionate, high-quality care that allows individuals to live independently and with dignity in their homes.
At Cornerstone Caregiving, we provide dependable, compassionate, and personalized non-medical in-home care services that help individuals maintain independence and dignity in the comfort of their own homes. Whether you or...
Caring for seniors is deeply personal to me-it’s more than a career, it’s a calling. With over 9 years in the senior care industry, and the privilege of caring for both my parents in their final years, I know firsthand...
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.
As a mission-driven national company, we’re dedicated to making a meaningful impact in local communities—but it’s the heart of every caregiver and team member that truly brings that mission to life. Guided by purpose and...
Americano Home Healt Care INC is a certified home health agency in Tujunga, California providing compassionate in-home care. They offer nursing, therapy, aide services and personalized support to help patients recover and...
Welcome to Minoru Home Care, Inc. You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services...
At Senior Helpers we are here to help anyone we can. No matter how big or how small the task-- our goal is to keep your loved ones safe, maintaining or enhancing their quality of life.
When you choose New Wave Home Care of Pasadena, CA, you can rest easy knowing that your loved one is getting the specialized care they need from a trusted, friendly caregiver.
Aging, disability, illness or injury can make living at home a challenge. We believe that no one should have to face the long list of complex decisions and unforeseen changes alone. We are experts, providing not just...
At Kompass Care Inc, our mission is to provide compassionate, person-centered care that empowers individuals to live with dignity, independence, and purpose. We are dedicated to delivering high-quality support services...
Tigran Sargsyan, owner of Amada Senior Care Burbank, is deeply passionate about delivering high-quality senior care to his community. Tigran’s commitment to this vital service is rooted in personal experience. Says...
As the owners of Amada Senior Care Los Angeles and Pasadena, Patrick, Christy and Richard D. Babcock, Ph.D., have set the highest standard of care for seniors living in Pasadena, Glendale and surrounding Los Angeles areas...
Progress Home Health is a trusted provider of high-quality, compassionate in-home healthcare services. Dedicated to promoting wellness and independence, we offer personalized care plans tailored to each patient’s unique...
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...
Finding an experienced and compassionate caregiver for an elderly relative or friend is a serious responsibility. You want someone who is professional but friendly and who is a good match with personality traits. It might...
California Homecare Agency LLC provides compassionate, non-medical caregiving services designed to help seniors and individuals remain safe and comfortable in their own homes. Their trained caregivers assist with daily...
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...
Glendale Home Health Care is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alliance Home Health Services is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Grandcare Home Health Services is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Promptcare Health Services is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AAA Home Care, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Twins Quality Home Health Care, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cqi Homecare is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angel Care Home Health Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentle Hands, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royal Health Homecare Agency, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apex Home Health Care, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adventist Health - Glendale is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Heart Home Health Care is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All American Home Health is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Citywide Home Care, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unik Home Health Care Services, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American Home Health, Inc. is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vital Plus Home Health Care, Inc is a home care provider that services in Glendale, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It is our mission to provide our clients with exceptional home care services and achieve the optimum wellness they deserve. You deserve to have the optimum level of health and comfort. Whenever life’s difficulties...
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...
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...
At Senior Helpers of North Valley, we are committed to providing personalized, compassionate care that meets the needs of both seniors and their families. We believe that everyone deserves to age with dignity, purpose,...
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...
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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.