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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:
Every care plan is customized to fit your loved one’s unique needs. Whether it’s short-term assistance or long-term care, we are here to provide dependable, compassionate support every step of the way. Let us help your...
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...
Based on the principle that everyone deserves to be treated with compassion and respect, our team of skilled healthcare professionals is dedicated to providing personalized care in the comfort of their own homes
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 CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
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...
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...
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...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
Stephen Conway opened Senior Helpers Fort Worth in 2013 due to his commitment to delivering the best possible in-home care to seniors in the Greater Fort Worth community. After winning a battle with cancer, Steve was...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Cornerstone Caregiving is ready to assist with care starting as soon as TODAY! We have no specific minimum hours required, we are available for an hour at a time up to 24 hours a day, and you can schedule us any time day...
At Ariel Home Healthcare, our PAS program provides essential assistance with daily tasks that have become challenging due to aging, disability, or recovery from illness or surgery. Unlike skilled nursing care which...
Anda Homecare,LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Thinking about professional in-home care for a senior loved one or yourself? The professional senior home care services team at Amada Senior Care of Arlington and Mansfield offers compassionate companion care and...
A Touch Of Grace Care LLC, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Caregivers of Texas program is designed with a genuine interest in providing affordable home health care and companionship to our senior citizens and veterans. Caregivers of Texas is ideal for seniors and veterans...
Acredable Healthcare Services LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Concord Home Health Services Llc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care of Arlington, our mission is to deliver a higher standard of compassionate, personalized care that empowers individuals and families to live their best lives in the comfort and safety of their own...
Available Home Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Almond Healthcare Services is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care For All Home Health is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Givers is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abundant Living Home Care Services, LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Applesoft Homecare Svc LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calvary Hill Health Services Llc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALPHA OMEGA GROUP HOME INC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Professional Home Health Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Azza Home Health Care Agency of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bridgeway Health Services Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Safe Haven Care Home is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace Home Healthcare Ltd is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carebridge Solutions LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Barclays Home Healthcare Services Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Attentive Primecare Home Health is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allstar Healthcare Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightlight Home Health LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assured Best Care Home Health Llc of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForcare is a premier provider of non-medical, private duty home care services for people of all ages. Our caregivers can assist people with the activities of daily living in any setting they call home, whether it is...
Comfort Oak Health, located in Arlington, TX, is a dedicated non-medical in-home care agency focused on providing compassionate and personalized support to individuals and families. We offer a range of services including...
At Homewatch CareGivers of Keller Grapevine, we understand the importance of finding a reliable and trustworthy caregiving provider for your loved ones. Whether you’re an elder adult or someone of any age with a health...
SYNERGY HomeCare of Fort Worth serves over 2,200 square miles, in more than 38 zip codes in the surrounding areas of Fort Worth, Aledo, Benbrook, Burleson, Cleburne, Granbury, Glen Rose, Mansfield, Mineral Wells,...
Care Mountain Home Care is an independently owned agency delivering highly personalized, compassionate in-home care that helps seniors live safely and comfortably while giving families true peace of mind. With...
At A&T Moore Health Care, we know that although needs change, dignity remains important. That’s why we offer superior home care from compassionate and qualified caregivers.
Our caregivers and personal assistants help overcome challenges and make home an even better place to be. We include everything from specialty senior care, Alzheimer’s and Dementia care, personal companion services,...
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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.