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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:
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Home Instead of Waltham is an independently owned office of the World's largest Senior Care Organization. Owned by local resident Christopher Jenkins, the Waltham office services the towns of Brookline, Newton,...
Why choose us: PERSONALIZED, QUALITY AND COMPASSIONATE PRIVATE DUTY HOME HEALTH CARE Nothing is more important than the care of a loved one whose health is compromised. Providing care at home, in a comfortable and...
A Season Home Care, LLC is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mark Friedman, owner of Senior Helpers Boston and South Shore, has been in the senior care industry since 2009. His team is guided by a passion for senior care and a goal is to set a new standard in senior care in...
Acti-Kare of Brockton provides quality in home care services to families and seniors in Brockton, MA. Our carefully selected and qualified caregivers deliver compassionate care with in home help to anyone who needs at...
Home Instead of Norwood is a locally owned and operated office of the world’s trusted source of homecare services for seniors. Our mission is to enable seniors to live happy, healthy, safe and independent lives in...
WHY CHOOSE CARE BEYOND: When you choose Care Beyond, you’re choosing a partner in care who is committed to enhancing the quality of life for you or your loved ones. Our approach is holistic, focusing not just on the...
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...
We are a recognized agency providing Home Health Care wherever a client lives in Eastern Massachusetts. We are also Alzheimer's specialists. The service can be a few hours or 24 hours. We offer Live-in, hourly,...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
To be the leading service provider of home health care and health care personnel staffing services by defining industry quality standards through a cost effective provision of innovative service delivery models, staff...
Always Here Home Care is the premier, non-medical, in-home care provider in the Boston area.Client chooses caregiverClient determines extent and timing of services (mornings, afternoons, evenings, live-in, etc.)Free...
Foundational Health Home Care provides quality, non-medical in-home care services for individuals with a variety of disabilities, conditions, injuries, and levels of mobility. We strive to not only meet but exceed the...
Laboure Center Vns is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Art of Care Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Suburban Home Health Care, Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Citywide Home Care, Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Independence Home Care, Inc. was founded in order to provide non-medical senior home care services to the eastern Massachusetts region, and maintains locations in Boston, MA, Burlington, MA, Framingham, MA, and Duxbury,...
Uphams Home Health Care is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Passionate Care Providers, Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mavencare was conceived after the founders each experienced similar challenges finding and managing quality home care for their grandparents. Collectively, the team decided there had to be a better way. Using their...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Franciscan Children's Hhs is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Roxsom Home Care, Llc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Touch Home Aides is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jewish Family & Children's Services is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care understands the importance of personalized care for your loved ones. Our trained and compassionate Caregivers provide assistance with daily tasks such as dressing, hygiene, and meal preparation. In...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels of Mercy Healthcare is a beacon of hope and compassion in the community, providing exceptional care with a heartfelt commitment to the well-being of their patients. Their dedicated team of professionals goes above...
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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.