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:
Feel better in the comfort of your own home with Hearts United Homecare, a nurse-owned agency dedicated to providing compassionate care and daily living assistance tailored to the needs of each individual. Whether you...
At Brothers in Homecare, we take your needs to heart. Like so many of our clients, we understand that life at all stages should be lived with the highest degree of comfort and dignity. It's with compassion that we have...
Hubaal Home Care is a licensed provider of Home Care in Seattle, Washington approved by the Department of Health in March 2019. We are strategically located in Washington to serve the people with disabilities and ailments...
Our vision at Homecare Partners is to become the preferred home care provider in the state of Washington, known for excellence and dedication to each client served. Our commitment is to care for our client at their most...
Homewatch CareGivers of Mountlake, WA is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare of Northwest Seattle, WA is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At GAMERICA HEALTHCARE our mission is to provide the best home care to make a real difference in our clients. As such, we strive to build a close relationship with you through our excellent communication skills and...
Senior Helpers is the premier provider of senior care, wherever your senior resides. We provide in-home care and personalized care in the comfort of your own home and at other residential locations including assisted...
Welcome to Benmarr, where we offer loving and skillful care, in the comfort of your home. We recognize that when your family members require assistance, it’s not just about physical aide, but also about upholding their...
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,...
Swedish Home Health & Hospice is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are happy to introduce our Visiting Angels in-home care giving service. We are different in that we see it as our responsibility to adjust to the client's schedule, and see that they are comfortable in their own...
Professional Medical Home Care is a local, family-owned, Washington State Licensed, Home Care Agency. We are based out of King county and provide Non-Medical In-Home Care to seniors in Seattle, Bellevue, Kirkland,...
Seniors Helping Seniors - North Seattle, WA is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amicable Healthcare, Inc. is a health care agency licensed by the Washington State Department of Health to provide home care and Home Health services for elders and disabled people who are unable to carry out certain...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
In Your Home or Ours is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You have a choice to pick the best homecare agency in Washington. Here at American Healthcare Services, Inc., we help you live your life to the fullest through our advanced home healthcare services. There is a growing...
Highline Home Care Services is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help Unlimited Homecare is not a franchise. We have been in business since 1975 and remain to this day family owned and operated. A high percentage of our caregivers have been with us for years. Our caregivers are...
We specialize in non-medical home care services tailored to seniors, offering personalized care that goes beyond the ordinary. With over 15 years of industry experience, we've honed our expertise.
In-Home Reminiscent Care Our care-givers are trained to work with the clients on creative projects, having fun building new skills and new experiences that enhance their lives while remaining in their homes....
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,...
Sea Mar Community HH is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
First Line Adult Family Home is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Summer home care agency is a licensed home health care company provider serving Snohomish and king county area. Every person deserves to be treated with dignity and respect. At Summer Home Care our goal is to provide a...
Group Health Home & Comm Svs is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Husky Home Care is the Seattle area’s Stay Home Alternative. We provide hourly, overnight, and 24-hour services to make staying home the pleasure it once was for you. We provide: Household Services Personal Hygiene...
For nearly 20 years, TheKey (formerly Home Care Assistance) has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its...
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,...
DUPLICATE - Hubaal Homecare Agency is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Millennia Healthcare Inc is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wesley Homes at Home, LLC is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Agilosi Home Care Services, LLC is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We exist to offer a holistic approach to providing compassionate, quality, innovative home care services to people in their homes. Hospitality Home Care strives to achieve the highest standard in the industry by providing...
Holistic Healthcare LLC, WA is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Home Care, one-on-one Assistance for the Elderly and Disabled in your own home. The quality of our services is a reflection of our CAREgivers. They are highly qualified and carefully selected individuals. Each...
Care Home Health Care LLC is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Choice Care is a provider of quality home care services in Seattle & other cities such as Des Moines, Bellevue, Issaquah, Redmond, and Kirkland. We are dedicated to enhancing the quality of life for others and...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable...
Heartland Home Health Care is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors® is committed to providing seniors in our community with the ability to choose an independent lifestyle and remain in their homes for as long as possible with the dignity and respect they deserve....
B’Zoe Home Caregiving Services was founded by Prossie Lockett, who immigrated to the United States from Uganda. Although she worked in the embassy, she opted to leave her home due to many reasons, including genocide, in a...
Integrity Care and Staffing is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sometimes the best move is to stay right where you are – at home. Given a choice, most of us would age in our own homes. Yet too often people go through the challenges of moving when they could get the care they need...
SeaCare In-Home Care Services SeaCare was born out of the need to do better for our loved ones and our community. The founder of SeaCare witnessed her grandmother receiving subpar care, and she knew the only way to make...
Are you struggling with caring for an aging loved one? We are experts in compassionate care. We provide certified caregivers, non-medical caregivers, and in-home aides to work with seniors and individuals of all ages who...
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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.