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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:
1st Trinity Home Health Care is a dedicated home care agency committed to providing exceptional, personalized care services to individuals in the comfort of their own homes.
Delight Care Compassionate In-Home Care Services At Delight Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to...
We understand the unique needs of each patient, which is why we provide tailored care plans that prioritize their physical, emotional, and social well-being. Our multidisciplinary team of nurses, therapists, and...
McCarron Home Care provides personalized and compassionate in-home care services for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and offer warm...
At Home Instead we have come together as a group of dedicated professionals to deliver an exceptional home care solution that meets your needs. Our trained, screened and bonded CAREGivers serve your family's senior loved...
At Tranquility Home Care Solutions, our mission is to provide compassionate, high-quality, and personalized home care services that empower individuals to live safely, comfortably, and independently in their own homes. We...
Senior Helpers of Central Houston is the premier provider of in-home senior care in the Houston area. Knowing your loved one is happy, safe and cared for is your priority … and ours too. Our wide range of services ensures...
At Abbydot Homecare LLC, we prioritize the comfort and independence of our clients by offering professional and compassionate in-home care services. Our dedicated team provides personal care, companionship, and...
Here at HomeWell Care Services, Stafford, we want to make sure that every person has the chance to either grow old with dignity and grace or heal and recuperate in the comfort of their own home by providing compassionate...
Nurse Next Door is a senior home care service with heart. Our kind caregivers make lives better for clients where they’re the most comfortable: at home. With 24/7 availability, total flexibility and everything managed for...
Compassionate care and Extraordinary service. Receive comprehensive, empathetic care in the comfort and safety of your own home. As the oldest and largest personal home care provider in Texas, we have the experience and...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Houston Metro and surrounding areas to provide...
Our goal is to create an atmosphere where clients feel joy, security, and peace of mind, knowing that they are in the care of professionals who are devoted to enhancing their quality of life.
At Melody's Place LLC, we are committed to providing compassionate care tailored to the unique needs of each individual. Our dedicated team offers a range of services aimed at fostering independence and improving the...
At Home Matters, we’ve made it our mission to provide high quality care for seniors that allow our clients to remain safe, comfortable, and independent at home. Our approach is unique, based on years of research in the...
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...
Home Helpers Home Care Of Memorial TX is a locally owned, trusted provider of quality, compassionate in-home care. We consider ourselves part of your extended family and customize your home care solutions so that you can...
Senior Helpers of Central Houston is the premier provider of in-home senior care in the Houston area. Knowing your loved one is happy, safe and cared for is your priority … and ours too. Our wide range of services ensures...
At Sacred Hearts Healthcare Inc, we believe in delivering compassionate and professional in-home care that enhances the quality of life for our clients. Our dedicated team provides personalized support, from daily...
Angels Over Us is owned and operated by Lani Cabral, an experienced Senior Care Nurse Specialist. Lani used her experience and expertise to build a seasoned team of home care professionals to deliver a broad range of...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable...at home. Our trusted Central Houston staff can’t wait to meet your loved one. We want to know how many times...
Tailored services from skilled professionals encompassing medical needs, daily living support, and specialized treatments, ensuring holistic care under one roof for diverse client requirements.
At Avid Health Care Solutions, we understand just how important in-home care is to you and your family. We are humbled and honored that you have selected to trust us with this huge responsibility. We believe in treating...
At THE LDM GROUP, our mission is to provide compassionate, high-quality home health care that empowers individuals to live independently, comfortably, and with dignity in their own homes. We are committed to delivering...
Our Services Companion Care For our basic level of care, caregivers provide services such as companionship, meal planning and preparation, light housekeeping, laundry, medication reminders, and other general...
We at Right at Home understand your concerns when it comes to making decisions regarding your family. For many people, our in-home senior care is the best solution for maintaining a healthy lifestyle and loving...
A Care Home Health Services is a home care provider that services in Bellaire, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pediatric Services of America Inc is a home care provider that services in Bellaire, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of Houston is a home care provider that services in Bellaire, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Let’s Meet! With First Royalty Home Care, you’ll get the combined experience of people who’ve been serving seniors in the Houston area for over 50 years. We will care for you and your loved ones like we would our own family.
We provide care for patients on ventilators, who are quadriplegic or paraplegic, or who just need a little help to stay independent and at home. The services of Uptown Homecare are delivered to the comfort of the place...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
“MedPro USA Health Services' mission is to provide professional and paraprofessional services to clients in their homes assisting them to achieve the highest level of potential in their day-to-day self-care...
Griswold Home Care of Southwest Houston looks forward to providing you with caregivers who can assist your families with the attention, compassion and care that you deserve. Services offered by our caregivers include...
Synergy HomeCare of Katy provides certified caregivers and personalized care for seniors living with cognitive or physical limitations. We are an affordable, compassionate and respected home care choice for families who...
Bright Autumn Home Care stands at the heart of service, with a special focus on compassionate, tailored support for our seniors. We give seniors the opportunity to live life on their own terms, aging with dignity, grace,...
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...
Since 2006, Synergy HomeCare has been providing exceptional services to families like yours in the greater Houston area. At Synergy you will find the experienced, respected choice in dedicated caregiving professionals...
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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.