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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.*
✔
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:
Charlotte Web Private Home Care, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Founded in 1999, we provide much needed respite and personal care, as well as compassion and companionship for the elderly, or those recovering from illness, surgery, or childbirth and the disabled. SYNERGY HomeCare, a...
Quality, trust and compassion are the foundations of 4 Seasons Home Care. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
As we age or face an injury, disability, or chronic condition, simple responsibilities around the home and taking care of our physical health can sometimes become too much to handle alone. However, with the right support,...
Finding support for someone you love can feel overwhelming. At Blue Alliance Human Services LLC in Atlanta, we’re here to listen, understand what matters to your family, and help you explore your next step. If A Place for...
Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the week, Right at Home Atlanta’s in-home care is the answer. Our...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
Cornerstone Caregiving is proud to serve Woodstock 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...
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...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
2nd Family in Marietta offers in home care that feels personal, not transactional. Their caregivers support daily needs like personal care, meals, and transportation while building real relationships along the way. With...
Our team of experienced caregivers is committed to understanding and addressing the unique needs of each client, ensuring that they receive the best possible care tailored to their individual circumstances. As one of the...
Oak Home Care, LLC provides compassionate, dependable in-home care for seniors and adults throughout the Atlanta area. Our caregivers help clients remain safe, comfortable, and independent in the place they know...
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
Home Care & Senior Assistance Services for Every Need in North Atlanta & Marietta Qualicare North Atlanta & Marietta is your family’s partner for personalized home care.
Quality in-home care because life happens at home. We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a...
Maurina Homecare Agency was founded by a Family Nurse Practitioner and a military servicing member. Having worked in the healthcare field, I have witnessed the essence of providing high-standard care in the comfort of...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
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Amada caregivers are compassionate individuals trained to provide personal assistance to seniors and other individuals in need. They offer physical and emotional support, ensuring the well-being and comfort of their...
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duplicate BLOSSOM HOME CARE, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rooted in Family. Driven by Purpose. GoldenPeach Companions was founded by U.S. military veteran Carl Brewer with one goal in mind: to deliver the kind of care every family deserves. Inspired by his own experiences, Carl...
ATC Healthcare has over 30 years of experience, and we are here in the greater Atlanta area to help you find the right healthcare staff. We provide a professional recruitment staff with years of experience in the...
Amada Senior Care of North Atlanta - Marietta, GA - Duplicate is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
At Amada Senior Care Atlanta, we constantly look for ways to bring enjoyment to clients’ lives by making even the most common tasks and activities special. Our in-home caregivers form close bonds with clients as well as...
At BrightStar Care of Marietta, 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 local...
Docs Healthcare of North Georgia is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Encore Medical In Home Nursing Care is devoted to enhancing the quality of life by delivering compassionate services to all of our clients and consumers by providing skilled and non-medical care at home from our highly...
We Are Raising the Bar for Quality Care Full Heart Home Care delivers exceptional companion and personal care services for discerning clients and their families.
Davest Care LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Camellia Home Health is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At the heart of exceptional home care are exceptional care professionals. We take pride in ensuring that only the most skilled, compassionate, and dedicated staff are entrusted to care for you or your loved one in the...
HomeWell is more than just a home care business; we are a community of passionate care management professionals and dedicated caregivers who believe in the power of care at home. Our team is comprised of kindhearted,...
At Senior Helpers Marietta, we provide compassionate, personalized in-home care to help seniors live safely and comfortably where they belong—at home. Locally owned and deeply rooted in the Marietta and Kennesaw...
CareBuilders at Home is a premier provider of in-home care services, dedicated to enhancing the quality of life for seniors and individuals with disabilities.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Atlanta or in surrounding areas.
Bridgewell Homecare Services LLC provides a range of home care services to assist individuals with daily living activities. The company's offerings include homemaker services such as laundry, meal preparation, and...
Acti-Kare of Marietta, GA is a home care provider that services Woodstock, GA 30189. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
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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.