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:
Shaun Phelan was inspired to found Senior Helpers of Scottsdale in 2007 after witnessing the challenges his family experienced while trying to care for his grandfather. Shaun’s wife Tiffany also joined in this endeavor as...
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Home With Help is a trusted provider of comprehensive non-medical companionship / home-making and Personal Care Services in the Greater Scottsdale, Phoenix Arizona. We are committed to providing the most compassionate,...
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...
Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients to improve their quality of life while still recognizing and maintaining their dignity and independence. Preferred Care at...
Senior Helpers of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
• Preferred Care at Home is a non-medical in-home senior care agency that helps people with activities of daily living including but not limited to companionship, meal preparation, light housekeeping, medication...
Brightwood Health is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gold Star Home Care LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell Care Services of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Our mission is to be unwavering in our commitment to providing compassionate care, and ensuring the well-being and satisfaction of every individual we serve while fostering an environment of trust, empathy, and excellence.
Victory Home Care Agency is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sun Valley Home Care, LLC is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Sunrise Health Services is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care - Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cast Your Cares LLC is an affordable home care agency that offers an alternative to assisted living. It is the philosophy of the company that “A Place for Mom” is in her/his own home. We offer one-on-one caretaking...
Avara Care At-Home, LLC of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Keepers of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ITC Personal In Home Care is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your loved one will feel a sense of independence and dignity as our care is provided in the comfort of their own home. We’re locally owned and operated with a commitment to our community to assist seniors with the...
Living Free Home Care is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Living Free Homecare provides non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained, competent and dedicated staff members...
Our vision is to Empower People to Experience the Full Joy of Living. That statement defines who we are as a company. Our goal is to help our staff, our clients, and our community partners achieve their goals and dreams...
Assured Care is a non medical homecare company serving the elderly & disabled in their homes. We have been in business for 4 years & we are insured & bonded. We are certified providers for Arizona's ALTC & DDD...
Arbella Healthcare is owned and operated by registered nurses with 30 years in the industry. Our belief is that people thrive best in the comfort of their home. We also believe that each person is unique and deserves a...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Through carefully-designed services, our mission is to provide support and excellent care to seniors who face various challenges of aging; and to other adults who wish to improve their overall quality of life with...
Always Best Care combines national strength and standards with local accessibility and personal service. The local owners of Always Best Care of Scottsdale are John & Ganeen Harstick & Trevor Keeling. We've been helping...
Kimberly Akers and Kris Patmos are the owners of Amada Senior Care Mesa and longtime friends. Kris says, “We’ve been through many things together, including church ministry, raising our children, and now caring for our...
Sunshine Valley Home Care LLC is the most reliable and trustworthy Home Health Care Service, servicing the Maricopa area — providing excellent home care solutions to patients who are dealing with injury or illness. We are...
Metro Care is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Mesa, AZ is a home care provider that services in Mesa, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Gilbert or in surrounding areas like Mesa or Chandler.
EH In-Homecare Services proudly provides non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Tempe and surrounding communities providing...
We are a values-led and performance driven organization rooted in exceptional dedication to delivering the best services in the valley. We are committed to delivering these in-home care services in the most compassionate,...
We are a local, family-owned and operated in-home senior care agency providing hourly and live-in assisted living services for seniors. At Leading Edge Senior Care, we believe that it is not enough to simply provide...
Caregivers You Can Trust Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness,...
SYNERGY HomeCare of the East Valley and Pinal County employs hundreds of caregivers to assist with daily living activities in the comfort of your own home. Let us find the right caregiver to meet your needs. Our...
We are Josh and Courtney Harper and we are honored to serve our community as the owners of Homewatch CareGivers of Chandler – Sun Lakes, Arizona! We believe that clients, their families, and caregivers working together...
Home care services and support are provided to you and your loved ones with utmost respect for your privacy and independence. Seeing to it that you get to live your life to the fullest without putting your health at risk...
Senior Helpers of Tempe was opened by owner John Skelton in 2020 as a mission-driven business for the greater good. John and his dedicated team recognize the growing need for in-home care services and are committed to...
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...
No matter their needs, our personalized in-home services help your loved one remain where they feel safe and help them actively engage in leading an enriched life.
Why Choose Us - Our caregivers are the center point of our family. All Tender Heart Home Care caregivers are extensively screened to match our clients' needs. All caregivers are: ~Bonded & Insured ~Nationally...
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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.