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:
We specialize in daily living assistance at an affordable rate. Our goal is to help seniors and their loved ones live happy and fulfilling lives. Improving Seniors Quality Of Life While Being Passionate, Patient, And...
At Our Home Care, we believe that compassionate care begins with understanding. Our team of dedicated professionals is committed to providing personalized support for your loved ones. They undergo thorough screening,...
Cornerstone Caregiving is proud to serve Dearborn and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
One You Love Homecare Oakland Central provides compassionate, private in-home care to our neighbors in Birmingham, Franklin, Bloomfield Hills, West Bloomfield, Rochester, Auburn Hills, and Farmington. We believe...
Genesis Homecare Services believes that everyone, especially our seniors, deserves joy and comfort in their lives. Our unique business combines the delight of sweet treats with a commitment to providing exceptional senior...
Whole Life Home Care LLC is a compassionate and dedicated provider of in-home care services, committed to enhancing the quality of life for individuals and families.
SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
At Patient Home Health, our commitment is to transform the in-home care experience by combining compassion, excellence, and truly personalized support—at the most affordable rates possible. Our mission is to help...
Affordable Home Care is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dsn Home Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
True North Home Care Collective is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Valerie's Home Care is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Life Home Care is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CareOne Senior Care in Novi is devoted to helping seniors, the disabled, accident recovery and post-surgical patients live a healthy, happy life, while maintaining their independence safely at home. Our trustworthy and...
Michigan Home Health Services, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels at Home Care - Farmington Hills is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors - SW Oakland/ NW Wayne County, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
At Patients 1st Home Healthcare Services, we offer professional, reliable services to all of our patients. Our medical home care services take all your specific requests and demands into consideration and guarantee...
Homecare Private Duty LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affordable Homecare-Farmington Hills-MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Novi, MI provides home care and support services for seniors, including 24-hour in-home care, and support in independent and assisted living communities. We provide all levels of home care from...
At Caring Senior Service, we are dedicated to providing compassionate, personalized non-medical home care services that help seniors remain independent and thrive in the comfort of their own homes. With a focus on safety...
Golden Angels Home Help Services is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amb Healthcare, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Innovative Senior Care Home Health is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trillium HomeCare has been providing senior care services throughout the Detroit metro area for over 9 years. The management team have over 50 years combined experience in the healthcare field. The owners, Bob and...
Heritage Home Care is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
Senior Solutions Home Care - Farmington Hills is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Synergy HomeCare is the name you can trust in Farmington, Western Oakland & Northern Wayne Counties including Farmington, Farmington Hills, Birminhgham, W. Bloomfield, Beverly Hills, Franklin, Walled Lake, Southfield, and...
Aureus Home Care, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Complete Home Health Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Barbara Caring Hands, we are devoted to delivering reliable, personalized, and compassionate in-home care services to seniors and individuals with disabilities across Michigan. Our mission is to support our clients in...
Home Helpers® Home Care is a home healthcare service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and...
At Prodigy Unlimited Care, we are committed to providing personalized care. Our caregiving services address the specific needs and preferences of each client. Our caregivers are not only passionate and experienced. They...
CARING HEARTS HOME HELP LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Senior Caregiving Solutions of Michigan: Compassionate In-Home Care Services At Senior Caregiving Solutions of Michigan, we are committed to providing high-quality, non-medical in-home care services that prioritize...
Vip Home Health Services, Inc is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Life Homecare of Farmington Hills, MI is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
New Horizons Home Care, LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABC 123 LLC is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carter’s Caring Services is a home care provider that services in Farmington, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Care Overview – Senior Helpers of Farmington Hills, MI At Senior Helpers of Farmington Hills, we believe that every senior deserves care that truly focuses on what matters most to them. We are proud to be one of...
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...
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...
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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.