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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.*
✔
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 Promise Adept Home Health provides respite care, intermittent care, and companion services to those in need of care or companionship and light housekeeping.
Hearts at Home was founded in 2004 to provide caring assistance for the senior-in-need and help relieve the stress experienced by family caregivers. Through our professional medical and business experience, we recognize...
Alomega Home Health Care LLC-San Antonio is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors® in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing...
Terri Hooper opened the Senior Helpers San Antonio office in 2016. Terri comes from a family of natural caregivers and is inspired by the love and dedication she observed by the selfless individuals who cared for her...
Scott and Megan Archer opened Senior Helpers of Canyon Lake because of their dedication to providing the highest level of home care and client service possible. Megan and Scott are perfect partners when it comes to...
Life is Better with Villi of San Antonio, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your...
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...
Our in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Central and North San Antonio and surrounding areas. At FirstLight, we understand your...
Adventia Healthcare Associates Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AA Care Services is a reputable home care agency located in San Antonio, New Braunfels and surrounding areas dedicated to providing high-quality in-home care and support services for individuals in need. With a strong...
A Plus Comfort Care, Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alomega Home Health Care LLC-Austin is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpha Nursing and Therapy LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health Of San Antonio is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advocate Home Care is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACASA Senior Care was founded on the principles of Care, Compassion and Dignity. We found an increasing need for those that wished to maintain that all-important, familiar, independent living environment in the comfort...
Americas Medical Team Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Americare In Home Care Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Grace Primary Home Care of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Associates Home Health Agency is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acts Of Kindness Homecare of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ascensia Home Health Agency is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
24/7 Home Care Llc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANGELS OF MERCY HOME CARE is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alegria Primary Home Care, Inc of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Anointed Angels Caregivers Inc of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Access Home Health Agency of San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Your Home Health, Inc. is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apex Home Health is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American Medical Home Health Services San Antonio is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Abbie Health Care Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adoni Home Health Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ACP Primary Homecare of San Antonio, Texas, stands as a beacon of compassionate and comprehensive healthcare services within the vibrant community it serves. Nestled in the heart of San Antonio, this esteemed healthcare...
A Brighter Place LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abiding Home Health LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Plus Family Care LLC is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALTX PERSONAL CARE is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amed Home Health is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A & C Health Services Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assure Home Healthcare Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Good Home Health Care is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anchor Safe Health Care Inc is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is in constant motion. And a moving life is a full one. However, sometimes things can take a turn that slows us down or even stops us in our tracks. That’s where SYNERGY HomeCare comes in. To care for your basic...
Access Quality Therapy Services is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Cardinal Senior Care - San Antonio, TX is a home care provider that services in San Antonio, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.