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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:
At Ultimate Home Health Care Staffing L.L.C., located in Parkville, MD, we are dedicated to providing compassionate, non-medical in-home care services that promote the independence and well-being of our clients. Our team...
When considering your path to recovery, it’s essential to be informed about your choices so that you can make a well-informed decision. The same principle applies when you’re aiming to enhance your overall well-being,...
P-Key assists bathing, grooming, and hygiene (e.g., help with showering, dressing, brushing teeth).Helping with mobility and transfers (e.g., assisting with walking, getting in and out of bed, or using a...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Our Value We strive to provide the Best Quality Home Care. We Promote: Affordable High-Quality Health care A culture of Compassion and endurance Ethics and Integrity Cultural Awareness and Diversity
Home Instead® is a reliable source of home care for seniors in the Anne Arundel County area including Annapolis, Edgewater, Arnold, Severna Park, Pasadena, Crofton, Millersville, Odenton, Odenton. Services include...
Best Care Home Care is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
At Direct Home Nurturing LLC, you are our number one priority. We want you to focus on living life the fullest and achieving independence in the comfort of home with the services that we have prepared for you. Together...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
A Homemade Plan: In-Home Senior Care A Homemade Plan (formerly Angels of Care) is an in-home senior care company that provides Caregivers in the homes of senior citizens and people who have disabilities to assist with...
Capital City Nurses - Columbia is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Blessed Angels Home Healthcare Services extends a warm welcome to you our client and to your family and friends. Your medical treatment, safety and happiness are most important to us as we will do our best to answer any...
Engage, Enrich, Empower Care in the Home: Five simple but trans-formative principles 1. Learn and grow together. Loved ones with Alzheimer’s or other forms of dementia, can continue to take pleasure in their favorite...
Home Instead® is a reliable source of home care for seniors in the West Baltimore and Howard County area. Services include companionship, meal preparation, light housekeeping, med reminders, shopping, errands, more. We...
We understand that the first step in determining what type of care is most appropriate is to first meet with a client for a complimentary in-home assessment and visit. Our goal is to help you experience the least...
With patient-centered care, our skilled caregivers create and implement your individualized care plan and recommend revisions as your conditions change. We will then coordinate with you and your family into transitional...
A Place At Home is a company that focuses on providing personalized, compassionate care for seniors, offering services such as in-home care, assisted living, and memory care. With a mission to help older adults live...
Spirit of Hope is a locally owned and operated Home Health Agency — We pride ourselves in hiring the highest trained and exceptional health care professionals in the area, who are compassionate and understand how to bring...
At Home Helpers Home Care, we have been providing professional in-home care services since 1997. For over 25 years, our one-on-one compassionate care has been allowing our clients to stay right where they belong: at home.
Divine Health Inc. is a premier non-medical in-home care agency located in Windsor Mill, MD. We specialize in providing high-quality, compassionate support for seniors and individuals who require assistance with daily...
At Senior Care at Home, our mission is to provide compassionate, personalized, and high-quality care to seniors in the comfort of their own homes. We are dedicated to enhancing the lives of our clients by promoting...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
2nd Family - Eldersburg is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Home Care Skilled, compassionate certified nursing assistants (CNAs) and geriatric nursing assistants (GNAs) provide assistance with activities of daily living food preparation, eating, dressing, shopping,...
Trustworthy Staffing Solutions is a Residential Service Care Agency established and designed to provide quality, cost effective in-home nursing and personal care for the adult and pediatric medically impaired.
As a Residential Service Agency (RSA), our mission is to enhance the quality of life for our clients by addressing their unique health and personal care needs. With a team of skilled professionals who share a passion for...
Modern Senior Care LLC was founded with a passion for providing high-quality home health care services to seniors and individuals with all kinds disabilities. Our founder Ms.Sultana Bell who has over 24 years of...
Stella Maris Inc Home Hlth Age is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grace Healthcare Service Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homecare Maryland is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Balto. Co. Dept of Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care for Anne Arundel & Queen Anne's Counties, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Our Tender Hearts is committed to enhancing the quality of life and enriching minds by providing compassionate home care and healthcare education in the community
Senior Helpers Severna Park provides a full range of senior home care services for you or your loved one—from companionship and housework help, to more complex care services, including disease management, Live-In and...
Complete Home Care was established in order to assist you or your loved one overcome any burden. As a local Residential Services Agency, we pride ourselves on offering the most comprehensive home care services.
Our primary objective is to bring more enjoyment to the lives of those who find it increasingly difficult to function well on their own. We remove the burden of stress from both the person needing assistance as well as...
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...
Johns Hopkins Home Care Group is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
We are a family-based residential service agency providing safe, respectful, and dignified non-medical home health care to veterans and adults of all ages throughout Baltimore, Carroll, and Howard counties.
Founded in 1966, Interim HealthCare is the nation’s first home care company and a trusted provider of home healthcare, personal care and support, hospice care and medical staffing services.
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
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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.