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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.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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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’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
Elite Homecare Professionals LLC provides compassionate, reliable in-home care designed around each client’s unique needs and daily routine. Their dedicated caregivers help individuals remain safe, comfortable, and...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
Dignity Care Partners Home Care enables seniors and those with disabilities to maintain their independence and receive essential care from the comfort and familiarity of home.
At AB Royal Home Care Services Inc, our mission is to provide compassionate, dependable, and personalized in-home care that supports each client’s independence, dignity, and quality of life. We are dedicated to delivering...
We work closely with families to create customized care plans that meet each client's unique needs, providing peace of mind and exceptional care every step of the way.
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
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 through compassionate support,...
You Deserve the Best Care Available With over 10 years of experience, we have proudly provided exceptional in-home, non-medical care to individuals and families throughout Indianapolis and the surrounding suburbs. Our...
Our philosophy at Wise Home Care is to provide the quality of care that we would want for our loved ones. Home care is a sincere appreciation of and for the people we serve. We invite you to call us to discuss how Wise...
At Hoosier Home Care LLC, we understand how important it is to find care that feels safe, dependable, and personal. Our compassionate caregivers provide respectful support tailored to each individual’s needs, routines,...
SYNERGY HomeCare of Northern Indianapolis is owned and operated by Trent Terry, a Master’s graduate in Business Administration who has since put his degree to use in multiple successful entrepreneurial ventures, ranging...
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...
We are here to assist with emotional support, light housekeeping, grocery shopping and doctors appointments as much as you need. Our personal care professionals are prepared to assist you with daily living activities...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
Tru Dreamz Home Care LLC is an Indiana-based home care provider dedicated to helping individuals live safely, comfortably, and independently in their own homes. We provide compassionate, dependable, and personalized...
Veteran-Owned — The CARE You Deserve As a proud veteran-owned business, we understand the importance of honor, integrity, commitment, and compassionate service. Our mission is to provide dependable, personalized...
To be Indiana’s most trusted home care provider, delivering compassionate, personalized support that empowers individuals to live with dignity, independence, and enhanced quality of life in the comfort of their own homes.
Companion Care Connection is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B & B Maximum Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1 CARE SERVICES LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Humblehands Loving Care LLC is a compassionate and reliable home care agency dedicated to providing personalized, high-quality care for individuals in the comfort of their own homes.
At A Loving Hands Family Care LLC, we understand the importance of compassionate and personalized care for your family members. Our mission is to provide exceptional non-medical in-home care services to clients in...
ActiKare of Fishers, IN is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wellspring Home Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hearts Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hyperion Homecare LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COZY CORNER HOME CARE LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a Personal Care Agency that provides personal home services to the rapidly growing retirement community. We are dedicated to providing our clients with high-quality care and assistance, so they can live comfortably...
A Family That Cares Home Care Co is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Loving Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kind at Heart Home Care is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KMK Care is a personal services agency, committed to enhancing the lives of individuals across the state of INDIANA. Our unwavering dedication to excellence, compassion, and integrity fuels our mission to improve the...
Nurturing Neighbors LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gap Personal Services, LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mujani Services in Indianapolis, IN, provides compassionate, non-medical in-home care to seniors and individuals who wish to remain independent and comfortable at home.
Kaitin Care is a home care agency founded by me a mom of a special little girl named Kaitlin. In my role as a nurse I understand the health care side and understand the needs of a family who has a loved one who is in need...
HomeBase Care LLC is a home care provider that services in Fishers, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Julie’s Homecare, based in Indianapolis, IN, provides personalized in-home caregiving services to support independence, dignity, and quality of life. Our experienced team offers assistance with daily activities,...
Indiana Best Home Care Corp. is dedicated to providing compassionate, reliable, and personalized in-home care services to individuals and families throughout Indiana. Our mission is to support clients in maintaining their...
SC Homecare LLC is a home care provider that services Fishers, IN 46038. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
KC's Tender Touch provides personalized in homecare assistance , including companionship, homemaking, and personal assistance to help clients maintain their independence and quality of life. With over 26 years of...
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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.