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:
Senior Helpers is dedicated to the mission of assisting our senior clients to age safely in place at home- where they prefer to be. To the families we serve, maintaining the independence and dignity of their loved ones is...
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Blue Rose Legacy Home Care is a local, family-owned, and operated non-medical in-home care provider. We believe in taking care of each of our clients as if they were our only client and as if they were our own...
Senior Helpers is dedicated to the mission of assisting our senior clients to age safely in place at home- where they prefer to be. To the families we serve, maintaining the independence and dignity of their loved ones is...
No two families face the same journey when it comes to senior care. At A Place At Home – North Tucson, we tailor our in-home care services to meet your loved one’s unique needs while giving your family confidence and...
We bring private (ADL) activity daily living assistance to you, helping you or your loved ones thrive comfortably at home. Whether it's recovering from surgery, managing chronic conditions, or simply needing a helping...
Dedicated to Unsurpassed Care MARIK LLC exists to make a positive difference in the lives of our clients by providing an unsurpassed level of personalized, compassionate, high-quality home health care services through...
Blue Rose Legacy Home Care is a local, family-owned, and operated non-medical in-home care provider. We believe in taking care of each of our clients as if they were our only client and as if they were our own...
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 that are specifically structured to...
A-Z Home Care Options, a division of Reliable Staffing Solutions, is a comprehensive service company owned and operated by individuals who have been in the medical industry for a combined total of 30 years. With over 20...
CareMinders Home Care is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At All For One we understand the immense value that happy and well-compensated caregivers bring to the lives of those they support. By prioritizing caregiver well-being and compensation, we attract and, most importantly,...
At A-Z Home Care & Senior Services LLC, our mission is to provide compassionate, personalized, and comprehensive home care solutions that empower seniors and individuals with disabilities to live independently, safely,...
We are Family Owned & Operated having a strong passion and drive to help our Tucson local seniors get the right care they deserve at an affordable rate. Our certified home care team will work with you every step of the...
Dependable Health Services is our communities’ preferred choice for home health care services. We accomplish this through industry leading quality outcomes, exceptional customer experience provided by our team, and...
Felicity Home Care is your trusted source for in-home care services providing "Happiness" & "Peace of Mind." We provide affordable non-medical care services to seniors and people of all ages who want to continue an...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
Arcadia Home Care & Staffing is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alternatives In Home Care, LLC is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Faith First Healthcare is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eden Home Care - Tucson is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arizona’s Choice Home Care Solutions LLC is a Tucson-based, veteran-owned home care agency committed to delivering compassionate, high-quality care to seniors and veterans. We understand that maintaining independence is...
Caregiver shortages, escalating costs, improvements in technology, Increased regulation, and a new cultural mindset have combined to make it advantageous for families to hire experienced, independent caregivers directly....
A Touch of Love Tucson offers : Companionship Care : Emotional support and engaging activities to combat loneliness and isolation. Promoting mental and emotional well-being. Personal Care Personal Care: Assistance...
Dependable Home Health, Inc is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arcadia Home Care and Staffing is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of Tucson, AZ is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ace Health Care Services, Inc is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABOUT US Cornerstone Healthcare Staffing LLC is a nurse-owned healthcare staffing agency that puts patients first. If you need nurses and CNAs, our nursing agency will find qualified staff. We specialize in providing...
At Heaven Sent Home Care Services our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
AdvisaCare of Tucson is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dr. Chris and Christina Ram, owners of Amada Senior Care Tucson, have been advocates of health and wellness for as long as they can remember. Christina frequently is called upon to educate families about the many...
Bayada Nurses is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Home Care Assistance is to change the way the world ages. We provide older adults with quality care in Tucson, that enables them to live happier, healthier lives at home. Our services are distinguished by...
Amazing Senior Care is a healthcare company specializing in companion and hospice care services for seniors. The company is dedicated to providing compassionate, high-quality care that supports the emotional, social, and...
We are a provider of non-medical home care in Tucson, Oro Valley, Marana and Southern Arizona. We are locally owned and operated. Our staff comes with over 30 years of diverse Non-medical home care experience Our passion...
BrightStar Care of Tucson, AZ is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Health Core Home Care is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arcadia Home Care and Staffing is here to offer a helping hand with daily activities so you can remain independent in your own home. With the help of Arcadia’s in-home services, we can make sure your needs are met with...
Catalina In-Home Services is the premier home care provider in Southern Arizona. Locally owned and operated by the Clinco family for over four decades, Catalina is an award-winning company that has served thousands of...
Accent Care is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CATALINA IN HOME SERVICES is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentle Hearts Home Care is a home care provider that services in Tucson, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that many seniors need help with daily personal care tasks, which is why we provide at-home personal care assistance in Tucson. This is a foundational service we offer, and it can make a world of difference...
Senior Helpers is dedicated to the mission of assisting our senior clients to age safely in place at home- where they prefer to be. To the families we serve, maintaining the independence and dignity of their loved ones is...
Our trusted Tucson staff can’t wait to meet your loved one. We want to know how many times they’ve eaten lunch at La Hacienda, or if they would prefer to watch a movie at home every evening after dinner. They might not...
Our leadership team holds decades of expertise in the senior home care industry. Their passion for this field has motivated them to design an organization that prioritizes consistent, dependable care standards for you and...
FirstLight is About People, Home Care is Not a Career, It’s a Calling We know your first priority when choosing a home care provider is finding someone you can trust and rely on… someone who will care for your loved...
At Angel’s Journey Homecare, LLC, we are dedicated to delivering compassionate, personalized in-home non-medical care. With over 30 years of experience in the healthcare industry, our trained caregivers ensure comfort,...
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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.