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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:
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
At CareCo – The Caregiving Company of East Atlanta, our mission is to enrich lives by delivering exceptional, compassionate, and personalized in-home care that empowers individuals to live safely, comfortably, and...
Welcome to SYNERGY HomeCare of Suwanee. Up to 24-hour home care. CARE THAT MOVES YOU. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with...
We offer -Personal Care Our caregivers assist with daily hygiene needs including bathing, grooming, dressing, mobility, and toileting to support comfort and independence. Medication Support We help clients manage their...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Serenity Care Home provides compassionate, personalized in-home care that helps seniors and adults maintain their independence while remaining safe and comfortable in their own homes. Their dedicated caregivers offer...
Seniors Helping Seniors® 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...
At BrightStar Care of Lawrenceville, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support for our...
At PrimeCare Providers LLC, our mission is to deliver premier, compassionate, and reliable care services that enrich lives, promote independence, and support the holistic well-being of every individual we serve. We are...
Homewatch CareGivers of Lawrenceville, GA provides a broad spectrum of in-home care services, from personal care to companionship. Our caregivers are trained to support daily activities such as meal preparation,...
Charlotte Web Private Home Care, LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers of Lawrenceville, we know how challenging it can be to get the help you or your loved one needs. We have been in the exact same spot as you are in now.
Janet McLaren, owner of Amada Senior Care Snellville, views her role as part of a larger commitment to our population of cherished seniors in Greater Snellville and surrounding areas. To Janet, elders create the...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
A Place Like Home Respite Care Services LLC, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Angie's Nursing Services' strategic vision is to create and sustain a leading high-quality service that supports individuals to live as independently as position in the comfort of their own homes. We personalize our...
Amazing Care Agency Inc. is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gardenlight Home Care, LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Living Services is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Time is golden and the time you spend at home is even more precious. At Golden Home Care, we share your goals in staying at home for as long as possible especially when you’re facing old age or when your...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client
FMH Personal Care is a trusted home healthcare agency dedicated to providing personalized, compassionate care that allows individuals to maintain their independence and quality of life in the comfort of their own homes....
Essential Priority Healthcare LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthy Heroes LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Garden Hills Community Living LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that not one care plan fits all. Daily services can include anything from meal preparation, hygiene, cleaning, and supervision. We will take the time to get to know you and develop an individualized care...
A non- Medical in home care and assistance services Our commitment to you and your loved especially our commitment to the quality of care and the integrity of our services has been the foundation on which we have build....
A SERVANTS HEART HEALTHCARE SERVICES LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a non-medical care agency that offers exceptional in-home care. We offer short and long-term care that covers a full range of services and tasks. Rest easy knowing we work hard to ensure the highest level of...
duplicate - Home Helpers Home Care of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
CARE4ALL COMMUNITY CARE INC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Better Life Health Services, Inc. is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BEST OPTION HEALTHCARE LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Keepers Home Care – Macon, GA Trusted In-Home Care for Seniors & Adults with Disabilities in Macon and Middle Georgia Welcome to Compassionate Keepers Home Care of Macon, Georgia, where we are dedicated to...
We are a private duty home health care facility. We provide services in the comfort of our client's homes. These services are aimed at achieving optimal independent living for our clients.
Fresh Dew Home Care LLC-Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carehaven Healthcare LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Care About You—And We Want You to Be Happy at Home We provide dependable, compassionate assistance with daily activities such as personal care, companionship, meal preparation, light housekeeping, medication...
At A Circle of Love Home Care, we understand the importance of providing exceptional care and support for your elderly parent when you are unable to be there. Our dedicated team of caregivers is committed to ensuring the...
American Healthcare & Family Services, LLC is a compassionate Private Duty In-Home Care Agency. We put our reputation on the line to provide uniquely client-centric Home Care by striving to ensure a better quality of life...
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
Discovery Homecare provides personalized in-home care services tailored to meet the unique needs of each individual client. Our team of dedicated caregivers is committed to enhancing the quality of life for our clients...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, we are here to provide you with home care services, specifically structured to cater to your...
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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.