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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
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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:
Home Instead Snellville offers individualized in-home senior care right in your neighborhood. Our trained, screened and bonded CAREGivers are serving Georgia communities with compassion and devotion.
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Our team of experienced healthcare professionals, including registered nurses, social workers, and certified nursing assistants, is available 24/7 to support you and your loved ones. We believe that access to quality...
Serenity Care and Compassion is Locally Operated, Licensed, Bonded, Insured, and have been providing compassionate care in Georgia For 15+ Years and are happy to provide services to older adults and children in need of...
Senior Helpers of Lawrenceville, GA is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care at Home Solution Discover the Care at Home Solution advantage, where our local focus is our strength. We offer personalized, client-centered in-home services to ensure the safety and well-being of the elderly,...
Our caregivers assist with activities of daily living such as bathing, dressing, grooming, and medication reminders, promoting personal hygiene and overall wellness.
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Our 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 compassionate care in the...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Bisol Homecare Services offers personalized and compassionate in-home care for seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical care, and warm...
Charlotte Web Private Home Care, LLC is a home care provider that services in Grayson, GA. 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...
GRISWOLD SPECIAL CARE The World’s Oldest Multinational Non-medical Homecare Company Trusted Homecare at Affordable Rates GRISWOLD SPECIAL CARE refers Caregivers who provide companionship, homemaking, and personal...
With highly personalized care and a dedicated team of compassionate caregivers, you and your family can expect more from HomeWell Care Services in Lawrenceville, Gwinnett County and surrounding areas.
At Prive Home Care Network LLC, we are dedicated to providing exceptional in-home care and reliable medical transportation services tailored to the unique needs of each individual. Our mission is to enhance the quality of...
We provide both medical and non-medical service so we can adapt to your changing needs. We strive to have the most competitive rates in the region. If you are already receiving private duty home care, please contact us...
Palrine Home Care is a trusted provider of personalized in-home care services, committed to helping individuals maintain their independence and quality of life in the comfort of their own homes. With a team of...
Be Well Wellness Company is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LANU HEALTHCARE SERVICES LLC is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BRADFORDVILLE SANTEE PROV COMMUNITY HOME CARE, LLC is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Health Care Services is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At My Place, My Home LLC is a distinguished provider of home-based care services, committed to offering compassionate and personalized care in the comfort and familiarity of your own home. Our focus is on enhancing the...
At Graceland Home Care, we understand your home is a place of comfort, security, and cherished memories. Our mission is to provide compassionate and exceptional care right in the heart of your home. With a team of...
At Meadow Springs Home Care Agency, our mission is to provide compassionate and personalized home care services to our clients. We strive to improve the quality of life for those we serve, while prioritizing their safety...
Cherish Home Care Solutions is committed to providing compassionate and inclusive care solutions that cater to the diverse needs of individuals, including those with autism. Our mission is to offer specialized support and...
At AidBee Homecare, we provide compassionate, proactive care planning and management, and all care is supervised by nurses to ensure your satisfaction. As a full-service home care agency, we offer a wide range of...
Precious Hands Home Care Services is committed to exceed the expectations of our clients by boosting their hope, self-respect, self-confidence and by providing the highest level of care, delivered with grace, compassion,...
We are a home care agency dedicated to helping clients live an independent, healthy, and happy life through premier concierge services. 365 Elite Home Care is a family owned and privately operated home care agency that...
Private Home Health Care Are you looking for a competent health care provider that you can trust? ONEKAP is here to provide you with high-quality private home healthcare services. Our professionals are skilled and...
AFFECTIONATE ANGELS HEALTHCARE is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eva and Erma's House - Senior Care Homes is a home care provider that services in Grayson, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We proudly provide homecare services to seniors, family and individuals with disabilities. Care with great respect, kindness and compassion, being a prime source of dependable health care providers to the community,...
Its Home LLC is a trusted home care agency based in Atlanta, Georgia, providing personalized and compassionate care services to individuals in the comfort of their own homes.
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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.