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:
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...
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...
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...
Options Home Care of Gaithersburg, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Active Participant LLC is a compassionate home care agency dedicated to empowering individuals to remain actively engaged in their daily lives while aging in place. We provide personalized, non-medical home care services...
Best Care Home Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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 &...
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...
Our homecare staff provide personalized support for daily needs while also offering meaningful companionship. At Dusk To Dawn, we strive to make life easier and more comfortable for every patient we serve. We deliver many...
Caring Touch Agency LLC is a non-medical home care agency built on a foundation of love, compassion, and dependable support for every individual we serve. We provide personalized services, including safe and reliable...
A Homemade Plan of Lanham, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Queenmine Homehealth, LLC, is your premier destination for top-notch home healthcare services in Fort Washington, Maryland, and surrounding areas. Founded by a dedicated registered nurse with 24 years of extensive...
Senior Helpers of Laurel, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a residential nursing agency that provides 24 hour Nursing Services. Our programs emphasize personalized care, tailored to the patient’s individual needs. Our team steadily works with the physicians, the patient...
At Enjoycare Healthcare Services, we provide reliable and affordable home care services. We are a trusted Home Care Service our staff guarantees personalized attention to all of your health-related needs. We care about...
Better Days Home Care functions as a Residential Service Agency, we provide short and long-term care on an intermittent part-time basis in the comfort of our patients’ home. We hold no discrimination towards our patients....
Dalma Healthcare Services, LLC, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Docklad Professional Staffing Services is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Phoenix Home Health Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Hands Care Services LLC, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beyond Care Solutions Inc. is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Auit Solutions, our experienced team of caregivers is committed to delivering the highest standard of care, whether it's assisting with daily activities, offering companionship, managing medical needs, or providing...
Emmalec Nursing Services is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightview Home Care Services, LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affordable Healthcare Services is headquartered in Bowie, Maryland. For over 2 years we have been dedicated to providing exemplary home health care services to all our patients throughout the entire state of Maryland. We...
With our years of service, we’ve learned that a familiar and comforting environment, being with loved ones, friends, and family, or for any number of reasons, do lift a client’s spirits and quick recovery. Since 2008,...
Our vision Is to prioritize patient safety and training, tailoring our services to unique needs and offering 24/7 assistance. Our goal is to improve quality of life and promote independence, dignity, and peace of mind.
Balim Home Care LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First healthcare are a team of skilled professionals ready to serve patient needs. We provide quality care in a loving manner. Our mission is bridging the gap during life transitions by changing one life at a time....
We are confident that the self-worth of our residents will not get lost by maintaining our core values of: Compassion, Confidentiality, Privacy, Dignity, Integrity, Excellence and Respect. Please call us to learn more...
American Healthcare for Aging LLC is a home care provider that services Bowie, MD 20721. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
Golden Heart Healthcare Services is dedicated to improving the quality of life for the individuals and families they serve. Their mission emphasizes compassionate care delivered with integrity and honesty, helping clients...
Life Net Healthcare Services, Inc. is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Flawless Home Health Services, LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PDN Health Care is committed to providing superior nursing care to specifically targeted groups of individuals in the community, with the aim of improving their quality of life in the comfort of their own homes. Our...
We believe that our client’s care should not be by chance; rather, it must be their choice. Services provided by Divine Homes Healthcare reinstates a greater sense of dignity, independence, and pride to each of our...
Limacare Nursing Services LLC is a residential service agency providing 24-hour quality care services to adults and pediatrics. We encourage and promote family centered care. We provide excellent companionship and...
Adamant Home Care Services, is dedicated to developing partnerships in healthcare with its clients in a manner that fosters exceptional nursing and general In Home Care Services, along with complete documentation of that...
Midastouch Services LLC is a Residential Service Agency (RSA) licensed in the state of Maryland. We are committed to providing high-quality, compassionate home care services to individuals in need. Our team of experienced...
We are a Licensed Home Health Agency In Maryland. We tailor all of our home care services to meet the individual needs of our clients. We strive to ensure the highest levels of professionalism, quality, attentiveness and...
Guardian Angel Home Health - Bowie, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When discomfort stifles your life, we come to the rescue, peeling away layers of physical/ mental restriction through healthcare and healthy lifestyle changes.
Lifefirst Health Care Inc is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are more than an in-home health care agency: we are your extended family when family cannot be there. We are a locally owned, trusted provider of quality, compassionate in-home care, and we customize our home care...
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...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
Assisting Hands® of Bowie, owned by Tahira Goldson, and her Assisting Hands® Care Team provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. Assisting...
At Interim HealthCare of Bowie, Maryland, we know how important it is to be in a comfortable, familiar environment. We all value our independence, however, sometimes the best way to maintain our autonomy, or preserve that...
Community Support Health Services, LLC, we put our clients first in providing home health care services in Maryland. Our extensive array of services guarantees your loved ones’ optimum health while remaining in the...
Welcome to Pleasant Care and Nurse Staffing! Pleasant Care and Nurse Staffing is your local source for reliable care. Our company is proudly a part of the community in Maryland, Washington, D.C. and Virginia. We serve...
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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.