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.*
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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:
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...
Since its inception, Cardinal Senior Care has been rapidly growing. Our Cardinal Senior Care management team brings to the company a diverse set of backgrounds with over 40 years of experience in service, hospitality,...
Grannys Helping Hand LLC is a home care agency based in Rosenberg Texas that provides non medical in home support services for seniors and adults who need assistance with daily living. The agency focuses on helping...
Home Health services allow us to get you home and recovering quicker, reduce rehospitalization, and remain in the comfort and security of your home. A team of professionals will coordinate with your physician to create a...
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...
At BrightStar Care of North Houston and The Woodlands, TX our home care agency provides quality home care, caregivers, skilled nursing, therapies and medical staffing solutions to families and businesses in the greater...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in The Woodlands or in surrounding areas like Spring, Porter Heights, or Tomball.
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Tomball or in surrounding areas.
Home Helpers provides professional in home supportive services that help seniors and adults remain safe and independent at home. Through their Cared-4℠ program, a Caregiver can assist with personal care and nutritional...
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
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...
Personalized support for families in Sugarland and the Greater Houston area. We bring professional medical-adjacent care and warm companionship directly to your doorstep.
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
Our senior care services in Houston, TX help aging adults stay engaged in everyday life with tailor-made support to stay safe and well at home. It’s our mission to provide a care plan personalized to your family’s needs...
At Christian Companion Senior Care, we have been providing reliable and affordable in-home care services to clients in Dallas, Rowlett, Sachse, Wylie, Rockwall, Richardson, Plano, Garland, Mesquite, Forney, Fate, Royse...
Competent Care Home Health LLC provides compassionate, personalized in-home care services to seniors and adults throughout the Houston, Texas area. Their dedicated caregivers support clients with daily living activities,...
MD Healthcare LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Connect Healthcare Services, INC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cole Home Healthcare of Houston Inc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Nanny for Granny is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ample is dedicated to enhancing the quality of life for Seniors and individuals with disabilities within Texas. As an in-home care provider, we offer a range of comprehensive support services designed to assist seniors...
Everyday People Home Care Services is a compassionate and professional non-medical in-home care agency dedicated to improving the quality of life for seniors and individuals with disabilities. Our team provides...
Avistacare Health Care Services Inc of Conroe, TX is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GentlePath Home Healthcare is a dedicated provider of compassionate, in-home health care designed to support individuals in maintaining their independence, dignity, and quality of life. With a focus on personalized care...
Aloma Home Care, Compassionate In-Home Care Services At Aloma Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is...
ABOVE ALL HOME CARE LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Embrace Health Care System is a comprehensive healthcare provider committed to delivering exceptional, patient-centered care across a wide spectrum of medical services.
Stand Strong Home Health Services Pllc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Care Partners Agency LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Created to Care Home Healthcare Agency, LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eastgate Healthcare Services Inc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We continue to improve our Healthcare Services by only recruiting the best and skillful individuals to our team and providing extensive training to ensure that our clients will be happy and satisfied. We always make...
Perpetual Home Health Llc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Will Make the Comfort of Your Own Home Better Than Ever Your home is where you feel safest, most comfortable, and most at peace. Our In-Home Non-Medical Care services are designed to enhance that comfort while...
Aloma Home Care, Compassionate In-Home Care Services At Aloma Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is...
Aloma Home Care, Compassionate In-Home Care Services At Aloma Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is...
Aloma Home Care, Compassionate In-Home Care Services At Aloma Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity
Avatar Home Health Care Agency LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aloma Healthcare - The Woodlands, TX is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Windsong Home Health Agency is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homewatch CareGivers of Houston Galleria offer a variety of care services and ensure quality of life for your loved one. Our home and senior care team understands the difficulties of providing all of the care a loved one...
At Embracing Hearts In-Home Care, we believe true care begins with compassion. Our devoted caregivers deliver personalized support—from daily routines to heartfelt companionship and specialized assistance—helping clients...
Loving Angel's Home Healthcare LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Laurie and Ray Griggs opened the Senior Helpers Bryan, College Station office in 2018 because of their commitment to delivering the best possible in-home care to seniors in the surrounding communities. They have a passion...
Homewatch CareGivers of The Woodlands is one of the most awarded home care agencies in North and Northwest Houston, celebrating our 14th year. We have two nurses on staff to handle every possible care need, and we also...
Angels Instead is a company that offers non-medical home care services. We provide a variety of services to help our clients live their best lives. We are here to help with everyday tasks, errands, and anything else that...
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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.