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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:
Our homecare staff provide personalized support for daily needs while also offering meaningful companionship. At Dusk To Dawn, we strive to make life easier and more comfortable for every patient we serve. We deliver many...
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Wendy and Todd Johnson opened the Senior Helpers Silver Spring office in 2007 because of their passion for helping others by delivering the best possible in-home care to seniors throughout the Silver Spring community....
Best Care Home Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prospect Nursing and Home Care Services is a trusted provider of compassionate home health and professional healthcare staffing solutions in Frederick, MD. We proudly serve patients and clients of all ages — from babies...
What Makes SYNERGY Different? Reliability SYNERGY HomeCare's Care Team can be relied upon to be at their assigned shift as scheduled. SYNERGY HomeCare utilizes a telephony system allowing us to know when our caregiver...
Options Home Care of Gaithersburg, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
If you’ve been searching for a home care agency for your care or your loved one’s care, then you know there is a sea of sameness in the dozens of home care choices, making it difficult to actually choose one. And we know...
At Homewatch Caregivers of Potomac, we understand that deciding to seek in-home care for a loved one is never easy. It's a choice filled with emotion, hope, and the desire to provide the best for those who have always...
Allset Home Health is a non-medical in-home care agency based in Maryland, dedicated to providing compassionate and reliable support for individuals needing assistance with daily living activities. Their services include...
Raquel Micit, owner of Amada Senior Care Silver Spring, understands that choosing the right in-home care company for a senior loved one is a life event that most families are not prepared for. As a senior care advocate...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
At Adonai Family Healthcare LLC, we’re dedicated to delivering compassionate, comprehensive, and accessible healthcare to every family. Our community-focused approach provides personalized medical services for families...
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity. Based on...
Advanced Nursing + Home Support is committed to providing expert and compassionate care to every client. By engaging the highest quality health care professionals, and by providing exceptional service at every level, we...
Lifematters was founded with a single mission in mind – to dramatically improve the lives of clients by helping them manage their personal and health care needs in the comfort and privacy of their own homes.
HomeHearts HomeCare is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Holy Cross Home Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
K&B Connect LLC is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Critical Intervention 911, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Graceful Hand Home Healthcare, LLC is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Care for You, Inc.®, created in 1996, is family owned and operated. Whether the need is temporary or on-going, we do whatever is necessary to keep individuals in their homes. Home is where the person lives –...
Kabir Home Care is a non-medical home care agency that covers Fairfax, VA. We are dedicated to providing personalized, compassionate care to seniors and individuals with disabilities who wish to maintain their...
Kabir Home Care is a non-medical home care agency based in Silver Spring, Maryland. The agency is dedicated to providing personalized, compassionate care to seniors and individuals with disabilities who wish to maintain...
Alliance Staffing Agency, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Centered Home Healthcare LLC, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Riderwood Village, Inc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At AY Healthcare Services, we believe that heartfelt care makes a real difference. Our experienced caregivers offer attentive, individualized support—from everyday living assistance to emotional companionship and...
At Comfort Care Partners, we provide reliable and affordable non-medical home health care services to our clients within the DMV area. Our staff guarantees personalized attention to all of your home health care related...
Choral Healthcare Services Inc - Silver Spring is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
5 Star Business Group LLC is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Companion & Nursing Homecare is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empower individuals and enhance their quality of life by providing exceptional homecare services. We are dedicated to delivering compassionate, personalized, and professional care that promotes independence and well-being...
Caring for a family member can be challenging. At Compassionate Caregivers of Maryland, we strive to deliver just the right care for your loved ones to be safe and healthy, and to be a reliable partner you can turn to for...
Caring with compassion and dedication Welcome to Beulah Home Services, Inc. Beulah Home Services Inc. was born out of a desire to provide meaningful support to the elderly who need help with the basic Activities of...
Family & Nursing Care Select, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precious Senior Home Care, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medicaid Personal Providers, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
Gloves Health Care Services LLC provides comprehensive home health care services that address our clients’ overall health and well-being. We have a multidisciplinary team of professionals dedicated to providing...
We are a premium home care agency with sophisticated and mature caregivers who can relate to clients. We match caregivers and clients with complementary personalities and similar interests. The result is service that...
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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.