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:
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
LSSI offers in home care to meet the changing needs of seniors. Services like home care extend the time that seniors can remain independent in their homes. By caring for seniors, LSSI alleviates caretaker stress and...
Has the time come to find care services for your loved one? While it's a difficult decision, it's an important one. You need to find someone trustworthy who can provide the necessary level of care for your loved one's...
Cornerstone Caregiving is proud to provide exceptional in-home care in North Chicago and its surrounding areas. We offer a wide range of services including veteran’s care, palliative care, respite care, senior care,...
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...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
In-home care services can help people at any point within the aging process. We’ll work with you to develop a personalized care plan tailored to help fit your family’s needs. Our expert care provides all the support...
Senior In-Home Care Services From personal care to Alzheimer’s care to transportation, Home Instead® services make life easier for seniors and their families. Your local, independently owned and operated franchise office...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Ace-Premier Home Care Services, Inc. offers compassionate and personalized in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
Jonathan Wishnick opened Senior Helpers of Chicago in 2009 so people who need assistance would get well trained, well managed, and smart assistants as a tribute to his mother. Jonathan makes sure every client is treated...
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...
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...
Where passion meets expertise! Our wholehearted team of compassionate professionals at Christ Care Health Services LLC is here to provide you with a superb choice of in-home healthcare services in Chicago, Illinois....
Crystal Home Care’s mission is to provide our clients the finest care possible. Our philosophy of caring and our commitment to excellence is central to all we do. We focus on empowering our clients to live safely and...
Homewatch CareGivers' servicing Orland Park, Oak Park, Oak Lawn, and South West of Chicago is committed to being the premier provider of home care in the Chicago area. Our outstanding and dedicated office staff and...
Assisting Hands Home Care is the #1 home care agency that provides professional in-home care services, allowing our clients to remain safe and comfortable in their homes.
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...
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...
We are licensed by the Illinois Department of Public Health as a Home Services Agency and our company and our employees are licensed, bonded and insured. We are a proud member of the Home Care Association of America....
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...
Optimum Senior Care Optimum Senior Care offers in home senior care and caregiver services to the elderly population in the Chicago Metro area. Our mission is to cherish and protect the independence and dignity of our...
SYNERGY HomeCare of North East Chicago is owned and operated by husband-and-wife team , Sarah and Raisul Chowdhury, two business and data-oriented professionals passionate about helping people in need of quality in-home care.
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
Home & Hearth Caregivers is available 24/7 for you or your loved one. We serve Cook, DuPage, Kane, Kendall, Lake, McHenry and Will counties. Our experienced Care Plan Managers will be happy to provide a complimentary home...
Elara Caring - Chicago, IL is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a dedicated homecare services 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.
Established in 1984, All Help Health Services places caregivers that help individuals live independently. We have an outstanding reputation with Chicagoland hospitals, medical, and rehabilitation facilities. We place...
In-home care services can help people at any point within the aging process. We’ll work with you to develop a personalized care plan tailored to help fit your family’s needs. Our expert care provides all the support...
Recognized For Our Devotion To Clients and Caregivers Our goal is not to be the biggest home care company, it's to be the best home care company. The most accurate way to measure that standard is comparing ourselves to...
Advance Home Health Care, Ltd is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Getting started with 1st Class Home Care is a simple and convenient process. When you’re ready, give us a call and a staff coordinator will meet with you or your loved one for your FREE in depth evaluation of your needs...
Alpha Home Health Care Inc. is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Attentive Services Home Health Ii, Inc is a home care provider that services in Chicago, IL. 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...
Al-Shafa Health Care, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpha In-Home Care Inc of Chicago, IL is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1st Home Healthcare, Inc is a home care provider that services in Chicago, IL. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Greater Chicagoland 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...
Jennifer Novy, owner of Amada Senior Care North Shore, has dedicated her professional and personal life to caring for seniors. As a life-long Chicagoan, she now uses her senior care experience to help neighbors in Lake...
At Senior Helpers of Elmwood Park, we are dedicated to providing exceptional in-home care services that promote independence, dignity, and a higher quality of life for our clients. Our compassionate and highly trained...
Access Health Medical Supplies and Home Health Inc. is a trusted provider of high-quality home care services for seniors, offering compassionate and professional assistance to help older adults maintain their independence...
North Shore Compassionate Care is the ideal solution for elderly or disabled individuals who want to maintain their independence and dignity by continuing to live in the comfort of their own homes. Our home health...
Senior Helpers North Side Chicago is a mother and daughter run business. We are proud to be 100% female owned. We come from a big family and love being part of a business that supports and promotes the well being of...
Compare Home Care Agency Costs & Services
×
Success!
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.