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:
Home Care Assistance is the leading home care provider for seniors in need of living assistance while in the comfort of their own homes. Our mission is to provide the best home care services and other specialized service...
Mayehomecare delivers reliable, compassionate in-home support that helps clients live safely, comfortably, and independently. Caregivers provide personalized daily assistance and meaningful companionship—giving families...
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
At Seniors Helping Seniors® in-home care services, we understand and appreciate the unique challenges that come with age. That’s why our companionship and daily assistance offerings exclusively focus on the specific needs...
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...
Our story is deeply personal—it’s shaped by our own experiences. A few years ago, we faced the difficult journey of caring for Jeorgia’s mother when her health began to decline. As her needs grew beyond what we could...
J & L Innovations, LLC is a care provider for seniors and individuals with physical, mental, and intellectual disabilities. Our Mission: Be a blessing to others daily through personal care and putting others first.
We Provide Care That Keeps You Safe at Home When a loved one becomes weak, recovering from illness, or at risk for falls, home can suddenly feel unsafe and overwhelming.
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
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...
Our caregivers assist with daily living activities such as companionship, meal preparation, light housekeeping, medication reminders, personal care assistance, and transportation to appointments or errands. We focus on...
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 provide compassionate, personalized care plans tailored to each client’s needs, delivered by trained and experienced caregivers. Our services include: Personal Care Assistance, Companionship, Meal Preparation,...
Cornerstone Caregiving is ready to assist with care starting as soon as TODAY! We have no specific minimum hours required, we are available for an hour at a time up to 24 hours a day, and you can schedule us any time day...
At Homewatch CareGivers of Cedar Hill, we are passionate about delivering compassionate, reliable, and personalized in-home care services for clients in DeSoto, Midlothian, Duncanville, Grand Prairie, Lancaster, Red Oak,...
As a person begins to age, family members often feel the need to help with everyday tasks their loved one now finds challenging. It can be hard to tell when aging is affecting a family member, because small things can add...
La Monique Home Health Services is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jcare Home Health Agency LLC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
4Life Home Health Services LLC is a local agency that was built on integrity, love, kindness, and compassion. We are dedicated to being involved in the care of your loved one and fully committed to improve the lives of...
KM Home Health Services is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Lifting Home Care LLC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DFW Home Care is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greenlight Home Health Care Services Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Aubree Home Care, where we redefine the standards of non-medical home care services in Dallas, Texas, and beyond. At Aubree Home Care, we understand the importance of maintaining independence and dignity while...
Bienestar Care Services LLC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Brightstart Services of Grand Prairie, TX is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrity Home Health Care Services is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Az Healthcare Agencies And Homecare Llc of Grand Prairie, TX is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Amerigroup Home Health Agency, LLC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INTEGRITY HOME HEALTH CARE SERVICES is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Belo Home Health Care Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Good Hands Care Home Health Services Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACEMATE HEALTHCARE SERVICES INC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ameritex Home Care Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gifted Healthcare Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessed Touch Home Health Agency Inc is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maranatha Home Health is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mal & Mal Home Health delivers compassionate, reliable in-home care that supports comfort, safety, and independence. Caregivers provide personalized daily assistance and meaningful companionship—giving families peace of...
JACOP HEALTHCARE SERVICES INC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
E E CORNERSTONE HOME HEALTH INC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
4 Life Home Health Services LLC is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kemg Home Health Care is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to work with you to provide the best services for your loved ones so that they may maintain an optimal level of care provided through non medical healthcare services. We will help you design a plan that...
Floric Home Healthcare Agency is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anointed Caregivers Community Care is a home care provider that services in Grand Prairie, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell Care Services, we provide hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable Care Managers...
Home Instead, Inc. began franchising in 1995. Today, the Home Instead® network has grown to include more than 1,200 franchises around the world. While our franchise network is international, our office is local. And to...
Our caregivers and personal assistants help overcome challenges and make home an even better place to be. We include everything from specialty senior care, Alzheimer’s and Dementia care, personal companion services,...
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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.