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:
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Universal Care Home Health is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services that are specifically structured to...
If you or your loved one could use assistance with these or other activities of daily living, we invite you to contact us today for a free Care Needs Consultation with an experienced member of the Amada Senior Care...
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FootPrints Home Care provides in-home senior care services in the central New Mexico region including Albuquerque, Rio Rancho, Santa Fe, Los Alamos and other surrounding communities. We provide various home care services...
Legacy Healthcare, Inc is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthsouth Home Health is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mi Casa Home Healthcare is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mariposa Home Health is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Inteli-Care is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beyondfaith Homecare is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Best Care combines national strength and standards with local accessibility and personal service. The local owner of Always Best Care in Albuquerque & Rio Rancho is Darlene Wood. Darlene and her team have your...
Our Mission At CareRite HomeCare our mission is to provide compassionate and personalized senior care services to our clients in the comfort of their own home. We strive to improve the quality of life for those we...
Heritage Home Healthcare & Hospice, Inc is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FootPrints Home Care is a medically licensed home health agency. Our areas of focus are: In-Home Senior Care Services: Our first service line, founded in 2005, provides non-medical in home care to seniors....
Honor is a comprehensive home-care solution that helps older adults continue to live in their own homes with joy, comfort and grace. Honor offers the highest quality care by combining the best care professionals with...
Nursefinders of Albuquerque is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mi Casa Home Health Care provides homemaker, caregiver and home health aide services to the elderly and disabled. We also provide one time services for those who need a ride to and from appointments or just need our...
Homewatch CareGivers of Albuquerque, NM is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to deliver superior home care with an emphasis on excellence that translates into quality of life for you or your loved one. We are committed to making our services available to you. Our specialists...
We proudly provide home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and experts in...
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Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
1st Premier Home Care Albuquerque is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heritage Healthcare Services is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Companion Care offers quality in-home elderly care and assisted living services to help seniors remain in their home and live full lives. Our caregiver services are tailored to meet individual needs. Whether you or a...
Universal Care Home Healh of Albuquerque, NM is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our experienced and dedicated home health aides, personal care aides, nurse’s assistants and caregivers ensure the highest quality of home care for our patients.
Prestige Home Healthcare is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
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Gentiva Health Services is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Retreat At Home is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Activa Our commitment is to deliver outstanding care and support to individuals and families within the comfort of their homes. Our empathetic and skilled caregiving team is dedicated to improving life...
InnovAge PACE in Albuquerque, New Mexico, helps keep seniors independent and at home for as long as possible. Senior care decisions are never easy, especially when dealing with complex health issues that require multiple...
Harmony Home Health Services, LLC is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Serenity Home Care is a home care provider that services in Albuquerque, NM. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place At Home owner Rachel Wommack served as a Registered Nurse for 14 years – 11 of which were Elder Care and Care Management. Her years in health care gave her a unique perspective on seniors' needs and their...
We are a community-based service that provides an important non-medical resource, offering a full array of homecare, companionship, and respite services in a highly individualized manner.
We are New Mexico's leading provider of non-medical, in-home senior care. Locally owned and operated by a national Geriatric Care Manager, our client centric focus delivers care plans with the patient’s best interest...
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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.