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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.
✔
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 specializes in providing comprehensive healthcare solutions tailored to meet the diverse needs of our clients. With a commitment to excellence and a focus on patient-centered care, we deliver...
Herewith is a mobile and online platform for families to find, hire, and manage flexible, affordable in-home care for older adults. Unlike an agency, on Herewith there are no hourly minimums or subscriptions, you set your...
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Allied Healthcare Solutions LLC provides compassionate and personalized home care services for the elderly, helping individuals maintain their independence and quality of life in the comfort of their own homes. Our...
The “We are CARE” philosophy is a commitment to our core values of being Compassionate, Accountable, Respectful, and Ethical. These values are incorporated into every interaction A Place At Home has with families we...
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...
Our aspiration is for both our clients and colleagues to continually encounter profoundly positive interactions. Our mission is to enhance the quality of life for our elderly clients and their families by delivering...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Northwest Phoenix or in surrounding areas like Glendale, Peoria, or Surprise
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
Brightwood Health is a home care provider that services in Phoenix, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GenNext Home Care specializes in home care, home health and assistance for seniors, disabled adults and children. Our goal is to keep each client in their familiar surroundings as long as possible improving their quality...
Angel Senior Care LLC, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their own home.
Shaun Phelan was inspired to found Senior Helpers of Scottsdale in 2007 after witnessing the challenges his family experienced while trying to care for his grandfather. Shaun’s wife Tiffany also joined in this endeavor as...
Home With Help is a trusted provider of comprehensive non-medical companionship / home-making and Personal Care Services in the Greater Scottsdale, Phoenix Arizona. We are committed to providing the most compassionate,...
Tender Heart Home Care is a home care provider that services in Phoenix, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell Care Services of Glendale, AZ is a home care provider that services in Phoenix, AZ. 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...
Griswold is an award-winning pioneer in the home care industry, with over four decades of experience and a storied legacy of compassion and integrity. We believe Care Professionals are the foundation of our success, and...
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...
Griswold is an award-winning pioneer in the home care industry, with over four decades of experience and a storied legacy of compassion and integrity. We believe Care Professionals are the foundation of our success, and...
Seniors Helping Seniors® Scottsdale's 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...
ABOUT US Cornerstone Healthcare Staffing LLC is a nurse-owned healthcare staffing agency that puts patients first. If you need nurses and CNAs, our nursing agency will find qualified staff. We specialize in providing...
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We provide more than just compassionate, personalized care at home and 24 hours. We provide you with friendship, someone to talk to and support as well.
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Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients to improve their quality of life while still recognizing and maintaining their dignity and independence. Preferred Care at...
Arcadia Home Care - Glendale, AZ is a home care provider that services in Phoenix, AZ. 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...
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...
At some point we will all need a little support. It usually starts with family, neighbors, friends, and folks from church. We understand that being a full- time caregiver for a loved one is not always practical. Grace at...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Phoenix or in surrounding areas like Downtown, Midtown, or Tempe.
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 Tempe and surrounding communities providing...
HomeWell Care Services of Scottsdale, AZ is a home care provider that services in Phoenix, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
No matter their needs, our personalized in-home services help your loved one remain where they feel safe and help them actively engage in leading an enriched life.
Touching Hearts at Home of AZ is a home care provider that services the West Valley. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
SYNERGY HomeCare of the East Valley and Pinal County employs hundreds of caregivers to assist with daily living activities in the comfort of your own home. Let us find the right caregiver to meet your needs. Our...
Home Matters Caregiving is compassionate care you can depend on. Discover the benefits of professional caregiving in the comfort of your home. Learn how a Professional Caregiver can help create great days for your...
Griswold Home Care is available to assist you and your family with your home care needs. We specialize in providing quality home care with consistent, experienced caregivers, including live-in home care.
Jordana Masserman is a veteran in the home care field, with over 10 years of owning and operating Preferred Care at Home of Westchester and Putnam in New York. She brings her fresh face and care focused experience to the...
Acti-Kare of Scottsdale, AZ offers in-home care services to Scottsdale and the surrounding areas that will help you or your loved be comfortable at home while you age or rehab at home. Remember, when you can’t be with...
Senior Helpers of Tempe was opened by owner John Skelton in 2020 as a mission-driven business for the greater good. John and his dedicated team recognize the growing need for in-home care services and are committed to...
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...
PrimeCare Home Solutions in Peoria, AZ provides professional, affordable and compassionate in home care for seniors and others needing assistance. We are not just a provider of home care services; our mission is to be a...
No matter their needs, our personalized in-home services help your loved one remain where they feel safe and help them actively engage in leading an enriched life.
We are an affordable alternative to assisted living facilities and nursing homes – we help our clients to stay in the comfort of their own homes. With our in-home care services, clients will not need to rely on family...
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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.