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.
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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:
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Senior Helpers Concord was opened by Jenny Lind in 2008. She was drawn to Senior Helpers because of their unique approach to in-home care and the continuing education they provide their caregivers. Jenny and her staff are...
When you and a loved one in your life require care assistance, Executive Home Care is ready to lend a hand. Find out more about the expert and compassionate senior living care that is offered in the comfort of one’s...
Thrive Home Care - San Leandro is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior care matters deeply here in the East Bay Area, where our senior population continues to grow and become more diverse. It's all about improving the lives of our older community members, ensuring their safety, and...
Our dedicated team provides heartfelt care, ensuring every senior feels valued and supported. Every individual is unique, so is our care. We tailor support to fit every senior's needs and lifestyle. Comfort and security...
Home Helpers Home Care is a in-home care 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 independent...
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It is our goal to provide companionship and help out with everyday activities to ensure your elderly loved ones can live safely and securely. Whether your loved one’s health concerns are due to illness, injury, or aging,...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
A24/7 Healthcare Services LLC is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A REASON TO SMILE HOME CARE LLC is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Zone is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
OOB - ComForCare Home Care - Concord, CA is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Locally owned Companion Comfort Care provides dedicated non-medical home companion care for your elderly loved ones. With our coordinated care and support, we will look after your older family members so you can rest...
Seniors Caregiving Needs.com LLC is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at Welcome Home In-Home Care, we know better care means better quality of life. That’s why we are here to help you navigate everything from everyday tasks to complex care. Whether your senior loved one finds it...
Our Comprehensive Home Care Services Our services are personalized to support each client’s unique needs, routines, and lifestyle. Whether your loved one needs daily assistance, specialized memory care, or...
Caring Angels for Seniors is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CHAPERONE HOME CARE, LLC is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Early Beginnings Our company has been into non-medical care giving services since the 80's. During the early years , we operated Residential Care Home Facilities for the Elderly (RCFE).
CARELY.PRO is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Honor is a comprehensive home-care solution that helps older adults continue to live in their own homes with joy, comfort and grace. Honor offers the highest quality care by combining the best care professionals with...
Sutter Visiting Nurse Association And Hospice is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Always Available Home Care, our mission is to provide exceptional non-medical in-home care services in Concord, California. With years of nursing and industry experience, we deliver compassionate and personalized care...
John Muir Home Health Services is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus HealthCare has been providing quality in-home services since 1979. From companionship to specialized home health care, our services are designed to make your choice easier... to remain independent at home. Addus...
Better Living Home Care is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our companions and home care aides act as caregiver and friend when family members or loved ones can not be present. This enables family and friends to have peace of mind knowing that their loved one is getting the...
NOTTON HOME CARE INC. is a home care provider that services in Concord, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At NORCAL Compassionate Senior Care (NCC Senior Care), we are dedicated to connecting families with compassionate, skilled caregivers near me, tailored to meet every family’s unique needs.
Caring For Soles Home Care LLC delivers compassionate, reliable in-home support that helps clients live safely and comfortably. Caregivers provide personalized daily assistance and meaningful companionship ensuring...
Greta Days Home Care Service offers personalized in-home care for seniors and individuals with disabilities. Our compassionate caregivers assist with daily activities, provide medical support, and offer warm...
Senior Helpers Contra Costa was founded in 2007 and purchased by Nicholas Magnusson in 2014. He became passionate about working with Seniors through his experience working as a Administrative Director at UCSF Medical...
TishZee LLC is dedicated to enhancing the quality of life for our community by providing secure, dignified residential environments that honor the service of veterans, coupled with compassionate, personalized non-medical...
Exceptional care begins with care professionals who feel truly valued and supported in their calling. Our care team is the heart and soul of our business. As a people-centric agency, we prioritize nurturing and equipping...
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.