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:
Americano Home Healt Care INC is a certified home health agency in Tujunga, California providing compassionate in-home care. They offer nursing, therapy, aide services and personalized support to help patients recover and...
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AJAC Homecare Inc. is a healthcare service provider specializing in offering personalized and compassionate in-home care for individuals needing assistance with daily living activities. The company is dedicated to...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
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...
When choosing Homewatch CareGivers, take to heart that extensively trained and compassionate employees strive to preserve dignity while enriching quality of life and empowering independence as much as possible.
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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...
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...
A Caring Place was started to help people with the best quality care in their home versus in a nursing home. In this way, we offer dedicated one-on-one care of your loved ones. This means more time and energy can be put...
Passionate Home Care, Inc. is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When you choose New Wave Home Care of Pasadena, CA, you can rest easy knowing that your loved one is getting the specialized care they need from a trusted, friendly caregiver.
At Interim HealthCare of Santa Monica and Oxnard, we understand how important it is to have someone you can depend on when you or someone you love wants to stay at home to maintain the highest level of health and...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Always Best Care Senior Services combines national strength and standards with local accessibility and personal service in Pasadena, Altadena, Serra Madre, San Marino, Arcadia, Temple City, and parts of North El Monte....
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...
At Cornerstone Caregiving, we provide dependable, compassionate, and personalized non-medical in-home care services that help individuals maintain independence and dignity in the comfort of their own homes. Whether you or...
At Senior Helpers we are here to help anyone we can. No matter how big or how small the task-- our goal is to keep your loved ones safe, maintaining or enhancing their quality of life.
As the owners of Amada Senior Care Los Angeles and Pasadena, Patrick, Christy and Richard D. Babcock, Ph.D., have set the highest standard of care for seniors living in Pasadena, Glendale and surrounding Los Angeles areas...
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...
Our core mission is to provide the best personal care to our clients. We focus exclusively on personal care, assisting our patients in facing their daily challenges and undertaking their tasks comfortably. We help people...
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.
Experience the pinnacle of retirement living with our bespoke services tailored exclusively for discerning seniors. Revel in an elegant environment where every detail has been meticulously crafted to exceed your...
Interim HealthCare of Pasadena, CA is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Home Care Of America is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Unique HH Srvs is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TheKey of Pasadena, CA is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accredited Home Health Services is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Golden Arches we put you first. In trying times we know how important it is to not only have reliable care for our loved ones, but for our loved ones to not be alone. But sometimes you need a little help. This is...
Our mission is to bring compassionate love and care to those in need by providing caregivers trained in a wide- variety of skills. CONNECTING HEARTS HOME & PERSONAL CARE was started by a woman's love for her grandmother,...
Dedicated Home Health Agency is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For nearly 20 years, TheKey (formerly Home Care Assistance) has helped clients achieve successful long-term aging at home with comprehensive, concierge-based care. Ensuring the dignity, safety, and independence of its...
Select Home Care in Pasadena is the premier choice for Pasadena home care and people struggling with illness, disability, or the changes that often accompany aging. We provide comfortable and professional care for...
Brave Hearts Home Care was founded in order to provide quality in-home care to the individuals in need of our service in San Gabriel and San Fernando Valleys. Brave Hearts Home Care is dedicated to providing affordable,...
Huntington Home Care offers exceptional service provided by sincere professionals, specializing in senior care. The Huntington Home Care team consists of USC graduates; with Master’s degree in Gerontology, licensed...
Pallas Care provides tailored in-home care services that help our clients maintain their independence and age with dignity. We believe that everyone deserves to be treated with respect, sensitivity, and to feel safe...
Bethany Home Health Care is a home care provider that services in Pasadena, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In memory of our mom, Livewell Private Care continues to provide the loving, professional and tender care that families have come to expect from our Livewell brand. Our focus is on hiring and placing the most qualified...
In Home-Care Overview – Description When a loved one can no longer be safely alone, families need more than just a few hours of help they need a structured plan they can rely on. We specialize in comprehensive in-home...
As "baby boomers" began to officially turn the population tide on January 1, 2012, the increased need for senior in home care became a national discussion. In the past, families were faced with few choices when their...
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 H &M Home Health Care we provide exceptional, cost-effective, compassionate care to our clients. Our moto is BRINGING HEALTH AND HAPPINESS. We hire only top-notch professionals and employ contemporary methods...
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...
Presidio Home Care is a premium provider of supportive services. Since 2009, we have been setting the bar for quality in the Home Care Industry. We provide non-medical supportive services. We work primarily in private...
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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.