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:
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
Premium Home Health Care is owned and operated by true healthcare advocates along with a team of exceptional talents who deeply understand not only what it means to be a caregiver but most importantly, to be a care...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
What Makes SYNERGY Different? Reliability SYNERGY HomeCare's Care Team can be relied upon to be at their assigned shift as scheduled. SYNERGY HomeCare utilizes a telephony system allowing us to know when our caregiver...
Cornerstone Care Nursing is a provider of healthcare services to the clients in the comfort of their homes. As our company has grown, we have maintained a commitment to high performance and unsurpassed knowledge about the...
Allset Home Health is a non-medical in-home care agency based in Maryland, dedicated to providing compassionate and reliable support for individuals needing assistance with daily living activities. Their services include...
Care For Me Home Care Services is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homewatch Caregivers of Potomac, we understand that deciding to seek in-home care for a loved one is never easy. It's a choice filled with emotion, hope, and the desire to provide the best for those who have always...
Ready 2 Serve Home Healthcare, LLC - Chevy Chase, MD is a home care provider that services Chevy Chase, MD 20815. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
2nd Family - Eldersburg is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
We believe that people stay healthier, longer by living with liberty and dignity at home, the place they want to be. That philosophy motivates everything we do and embodies our culture and values. Our purpose is to help...
At Adonai Family Healthcare LLC, we’re dedicated to delivering compassionate, comprehensive, and accessible healthcare to every family. Our community-focused approach provides personalized medical services for families...
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
Best Care Home Care is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prospect Nursing and Home Care Services is a trusted provider of compassionate home health and professional healthcare staffing solutions in Frederick, MD. We proudly serve patients and clients of all ages — from babies...
Options Home Care of Gaithersburg, MD is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital City Nurses of Chevy Chase, MD is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1. A care team led by a Registered Nurse that develops and implements a personalized care plan for each client 2. Experienced, compassionate, and highly trained caregivers 3. On-going training and Development for all...
Experienced and loving in-home non-medical caregiver dedicated to treating every client like family. I provide compassionate companionship and dependable daily support, helping individuals remain safe, comfortable, and...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
Wendy and Todd Johnson opened the Senior Helpers Silver Spring office in 2007 because of their passion for helping others by delivering the best possible in-home care to seniors throughout the Silver Spring community....
Blessed Angels Home Healthcare Services extends a warm welcome to you our client and to your family and friends. Your medical treatment, safety and happiness are most important to us as we will do our best to answer any...
Senior Helpers Rockville is committed to delivering the best possible in-home care to seniors in Montgomery County. Our top notch caregivers have a passion to serve you or your loved by providing companionship and...
Comfi-Kare LLC provides essential home care services in Gaithersburg, MD, supporting seniors with personal care, medication management, companionship, skilled nursing, household help, transportation, respite care, and...
Home Health Connection, Inc is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life Matters is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
*DUPE* Chevy Chase Home Care is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Corewood Homecare, MD is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bethesda Home Health Care Services provides a full spectrum of in‑home support—from daily living assistance and health monitoring to errand-running and transportation—with the reliability and safety of licensed, bonded...
TheKey Southern Maryland is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At The Lisa Vogel Agency, our number-one priority is providing quality and professional care to help your loved one continue to live comfortably and safely at home. We understand that inviting someone into your home to...
Here and Now Home Care provides companion and personal care services so that people can continue to live independently, in the comfort of their own homes and living with peace of mind. We specialize in providing...
Two Caring Hands is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AllCare Advanced Home Care - Bethesda is a home care provider that services in Bethesda, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The company was started in 2019. HOMSICARE is an in-home healthcare service that provides medical (care coordination) and nonmedical (caregiver level 1,2,3) healthcare services in the community. We offer companionship,...
At ESRV Enhanced Care Services, we believe enhanced care means going above and beyond. Our devoted caregivers provide individualized support—from help with daily activities to heartfelt companionship and specialized...
At ThriveUSA, we consider it our mission to educate and empower our clients to help them maximize independence in their day-to-day lives. It is our vision to foster the most self-reliant, well-adjusted clients in the...
At Genesis Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to support individuals in leading fulfilling...
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 Heritage Home Care Services, we go beyond basic caregiving to ensure every client receives attentive, personalized, and compassionate care—right where it matters most: at home. As a licensed Residential Service Agency...
Loving Hands is a leading home health care agency, here to help you with your home health care needs! We deliver exceptional care to improve patient/caregiver relationships and, more importantly, better health outcomes....
The main goal of Nest Homecare LLC is to bring smiles to the faces of our patients and their families. Our home healthcare services target a wide range of people – from children to young adults and to the elderly. We want...
Our caregivers are employees not contractors and are extensively vetted to ensure that they are properly trained. We are family owned and operated and will provide the level of care that we would want our parents or...
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
Providing quality in-home care at affordable rates since 1989. Assistance in personal care including help in bathing, showering, dressing, grooming, meal preparation, medication reminders, companionship, transportation to...
We are a premium home care agency with sophisticated and mature caregivers who can relate to clients. We match caregivers and clients with complementary personalities and similar interests. The result is service that...
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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.