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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:
Why Choose FirstLight Home Care Woodland Hills At FirstLight Home Care of Woodland Hills, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the...
Progress Home Health is a trusted provider of high-quality, compassionate in-home healthcare services. Dedicated to promoting wellness and independence, we offer personalized care plans tailored to each patient’s unique...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task, we at Senior Helpers Granada Hills are dedicated to the highest quality of care from day one. Slade Abisror, US Navy Veteran...
Nu Care is the perfect solution for seniors and others in need who are not ready to leave their home for an institutional setting, but need support to remain at home. We improve your life by providing compassionate,...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
ComForCare Home Care in San Fernando Valley is a premier provider of non-medical, private duty home care services. We assist people with the activities of daily living in any setting, whether it be a private residence,...
As the elderly population continues to grow, in-home senior care has become an essential service for many. This type of care allows seniors to age gracefully and comfortably in their own homes, ensuring they receive...
You want to live in your own home for as long as possible. Assisted Healthcare Services’ caregiver services enable seniors to age-in-place and embrace their independence.
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
At SYNERGY HomeCare of Chatsworth, we believe that home care is more than assistance, it’s trust, compassion, and genuine human connection. Our mission is to help seniors and families to live fuller, more independent...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
Perfect Fit Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Metro Home Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Holistic Care Options, Inc. provides top quality in-home care to support and promote wellness for individuals, families, and communities in Southern California. Most families are struggling with the idea of their loved...
Dream Home Health Care, Inc. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LOVE AND CARE AGENCY, INC. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAREGIVERS' TEAM CORP. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Majesty Home Health is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tita Guest House is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are committed to provide unmatched services for the elderly in the comfort of their own home! Since 2011, we have been serving the LA area with the top quality homecare you can find!
Primrose Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bright Star Home Health Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blue Sky Home Health Care, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Remedy Home Health Care is a trusted Home Medical Agency serving the Los Angeles area. Our practitioners provide the best home health care services and cater to the specific needs of each client. We bring high quality...
Every Northwest Valley family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy...
Assisted Healthcare Services is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Integrity Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quest Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Age Home Healthcare, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Home Care Services provides caregiver to adults and individuals that needed care and assistance with their activities of daily living ( Basic A.D.Ls), such as eating, bathing, dressing, toileting, transferring...
Calipso Home Health Care Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bona Vita Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPLICATEA Place at Home-Northwest Valley is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amity Home Health, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mobility Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Vista Home Health Services, Inc is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HOLISTIC CARE OPTIONS INC. is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisted Home Care is a home care provider that services in Northridge, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Procare First Home Health Inc. is a Medicare and MediCal-certified Home Health Agency. Procare First Home Health Inc. provides services to home-bound patients with various diagnoses. Procare First Home Health Inc. does...
At Griswold, care is personal, and we’ll work with you to create a care plan that best meets your needs, including companionship, homemaking, and personal care. We support those with certain conditions, illnesses, or...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
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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.