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:
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...
More than 90% of seniors want to be able to age in their own home with dignity but getting the right type of care can seem daunting. At Senior Helpers of Marlton, NJ, we believe that getting the best care for your loved...
Unity Love Home Healthcare LLC is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Zenith Healthcare Services is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Enhancing Quality of Life with In-Home Care As loved ones age or face health challenges, some of life's everyday activities can become a bit more challenging. You can relieve the stress of everyday tasks by asking for...
One You Love Homecare provides senior in-home care services for your loved one. We pride ourselves on being one of the only homecare organizations that delivers what we like to call, “Always Caring Expertise.” Simply put,...
COUNTRYWIDE HOME CARE, INC. strives to add value to people’s lives by providing them with optimal care. By treating people with dignity and respecting their space, privacy, and beliefs, we aim to provide the best care...
Nursefinders is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
Caring Home Healthcare LLC is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Arosa, we believe in keeping the entire trust circle actively involved in care plan development so we can all make informed choices that are truly in the client’s best interests. Contact us today to learn more about...
Bedrock at Home of NJ is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bayada Nurses Inc is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Scott and Stuart carefully spent several years researching, planning and their masterpiece started to blossom. When Red Lion opened its doors the brothers innovation jumped off the canvas and sprung to life. Red Lion...
Sunray Til Dawn is an in-home service provider that assist individuals and families. We are dedicated to helping our clients lead dignified, independent lifestyles in the comfort of their own homes by carefully assessing...
Supportive Care is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home to Stay Healthcare Solutions is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Medallion Health Care LLC, your trusted provider of compassionate and personalized home care services in New Jersey. At Medallion Home Care, we understand the importance of maintaining independence and dignity...
Maxim Home Care Services Cherry Hill, NJ is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Newborn Nurses is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A+ Senior Care is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Attentive Care Inc. is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Accessible Home Health Care of Southern NJ creates a high-quality, safe environment for your loved ones, allowing them to stay in their own home and receive the care they need. Accessible Home Health Care is the...
rayHawk Home Care is a privately-owned and operated in-home care provider dedicated to improving the quality of life for seniors and homebound individuals. We are proud to offer a full range of high-quality, non-medical...
Sunlight Care is a home care provider that services in Cherry Hill, NJ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kevin Knapp, President of Right at Home of Camden, Burlington & Gloucester Counties, NJ and his team offers senior care services in the comfort and familiarity of wherever you and your loved one call home. We tailor our...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Compare Home Care Agency Costs & Services
×
Success!
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.