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.
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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:
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Capital City Nurses - Columbia is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shiloh Healthcare, LLC (Shiloh) is a Maryland State LLC based in Frederick, Maryland. Shiloh Healthcare provides dedicated, committed, and tailored sterling healthcare services for our clients at the comfort and pleasure...
Are you looking for a healthcare professional to care for a loved one or to fill in the vacant positions in your facility? BZED Home Healthcare and Staffing provides both home health care and healthcare staffing in Owings...
Yad Lae Zeerah is a dedicated health care provider committed to offering affordable and comprehensive care solutions. Our mission is to ensure that high-quality health care services are accessible to all, regardless of...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
A Homemade Plan: In-Home Senior Care A Homemade Plan (formerly Angels of Care) is an in-home senior care company that provides Caregivers in the homes of senior citizens and people who have disabilities to assist with...
Best Care Home Care is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pillars Nursing Services was founded with a passion for providing high-quality home health care services to seniors and individuals with disabilities. Our founder, who has over 4 years of experience in the healthcare...
AMITY Health Care Services is a registered domiciliary care provider serving the Baltimore area. We supply reliable, affordable, and personalized in-home care services tailored to you and your family-specific needs. The...
Noble Healthcare Services is a home care provider that services Laurel, MD 20708 and surrounding areas. 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...
Home Instead® is a reliable source of home care for seniors in the Anne Arundel County area including Annapolis, Edgewater, Arnold, Severna Park, Pasadena, Crofton, Millersville, Odenton, Odenton. Services include...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
We understand that choosing a home health care provider can be a difficult decision. That's why we are committed to providing the highest level of care and support to our clients and their families. Our team of skilled...
Home Instead® is a reliable source of home care for seniors in the West Baltimore and Howard County area. Services include companionship, meal preparation, light housekeeping, med reminders, shopping, errands, more. We...
Angels Healthcare Services, Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kay's Gentle Touch LLC is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You can achieve better health despite your disability, fragile age or illness. Our Residential Private Duty program helps you manage your health and increase safety at home, while you enjoy the company of your loved...
Charm City Home Care, Llc, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Patton Healthcare Service, LLC is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our caregivers are selected not only for their skills but also for their compassionate and angelic nature, ensuring a nurturing and uplifting care experience.
At Caresify, we believe in the profound power of care. To us, caregiving is not just about providing services; it’s about creating connections, honoring trust, and fostering an environment of empathy, respect, and...
Divine Health Services, Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adonai Alpha Healthcare Solutions is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grace Health Care Services Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Margaret's Care Agency LLC is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Era Home Care LLC of MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessing Healthcare Services LLC - Parent is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Home Healthcare L.L.C. is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health and hospice services.
Affectionate Health Care Services Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Balto. Co. Dept of Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Let’s Stay Home LLC is a Residential Service Agency in the State of Maryland, established to operate as a Home Health Agency to provide specialized and skilled nursing care and services to patients in their own homes.
Baltimore Family Home Healthcare Services Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sprouting into business on December the 18th, 2019, Dandelion Healthcare LLC has come long since our official founding two years ago. We have now established a comprehensive home healthcare program that reflects the...
Compassionate Health Care Services Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Johns Hopkins Pharmaquip, Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bunny's Home Care, Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Severna Park provides a full range of senior home care services for you or your loved one—from companionship and housework help, to more complex care services, including disease management, Live-In and...
Johns Hopkins Home Care Group is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
Founded in 1966, Interim HealthCare is the nation’s first home care company and a trusted provider of home healthcare, personal care and support, hospice care and medical staffing services.
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
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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.