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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:
Wendy and Todd Johnson opened the Senior Helpers Silver Spring office in 2007 because of their passion for helping others by delivering the best possible in-home care to seniors throughout the Silver Spring community....
EMC Home Health Care, Inc. provides reliable and affordable home health care services in the Maryland area. As your trusted Home Health Care Service since 2000, our staff guarantees personalized attention to your...
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...
MISSION Our Mission is to deliver compassionate, quality, community-based home care and to provide healthcare staffing services to a wide range of facilities when care outside the home is needed. OUR VISION Our...
About us Meet our founder Henrietta Jones RN is the founder and Executive Director of Hope Medical Staffing and Medical Consult with 23 years of experience in healthcare in homecare, mental health and hospital. She is...
American Healthcare for Aging LLC is a home care provider that services Bowie, MD 20721. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
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...
Options for Senior America - Gaithersburg, MD is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Golden Heart Healthcare Services, our mission is to deliver exceptional, compassionate, and personalized healthcare solutions that enhance the quality of life for individuals and families in our community.
Capital City Nurses CHC- Local/DC is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With home care services, our office can provide personal care plans through an in-home evaluation and interviews between the client, family and the ComForCare team to help determine the best plan of action for the...
Our vision Is to prioritize patient safety and training, tailoring our services to unique needs and offering 24/7 assistance. Our goal is to improve quality of life and promote independence, dignity, and peace of mind.
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
A Homemade Plan of Lanham, MD is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Centerbility of Maryland is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Uk Health Associates, Inc is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primeway Health Care Service Limited Liability is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Choice Healthcare (FCH) is a family-owned, non-medical home healthcare agency. For more than 20 years, Family Choice Healthcare has been providing quality home healthcare to its clients. From assistance with...
We believe our clients and families turn to Ageless Healthcare Services because of our heartfelt commitment to providing customized care with compassion, excellence, and reliability. We do not employ a one size fits all...
Ameristar Healthcare Services (AHS) is a dedicated HOME CARE agency. We provide services such as Personal care, nutrition, companionship, mobility, housekeeping and toileting. We recruit qualified and experienced RNs,...
Ivory Health Care Services is a residential service agency that provides skilled nursing care, non-medical care, and non-emergency medical transportation to elderly and disable adult people in Maryland. *Our skilled...
Holistic Home Healthcare Services is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are only as great as the people within our organization. We are proud of each member of the Chesapeake Home Health Care family. From our corporate team to our exceptional nurses, they each bring compassion, dedication...
Our staff consists of HHA/ CNA/ GNA/ Med Tech/ and caregivers, who are dedicated to providing phenomenal services to our clients at home and committed to working as part of the team. Additionally, our nurses take pride in...
At MYNAC Group, LLC, our mission is to work with clients and families to address their unique needs in the privacy of their homes. Our comprehensive services include skilled and non-skilled home healthcare services for...
Daystar Healthcare Services LLC is a home care provider that services in Hyattsville, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lily Home Care was born out of a passion to help others find a solution for their loved one's home care needs. Our family has been part of the Akron community since 1992, immigrating from Ukraine with the help of the...
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.
The Agency shall provide nursing care based on excellent nursing care standards established by the industry. Care Positive will provide nursing services (RN,s, CMA and Companions) for home care. These services shall be of...
We are pleased to have the opportunity to provide services to you in the convenience of your home. We are committed to delivering your home Nursing Care in a prompt and orderly manner, along with the education and...
Life Changer Health Services (LCHS) offers a combination of home health care and Group home services in the State of Maryland. As a start-up, LCHS seeks to provide premier home health services that are above and beyond...
Ageless Health Care is licensed, bonded and insured. All our caregivers are required to pass a multi-level background check and must have a good driving record and reference checks from previous employers. We hire the...
AT KCS, we care for every client in a professional manner with the respect and dignity that he/she deserves. Whether if you are caring for a family member, seeking the expertise of a home care professional, or you are...
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,...
Nedsierra Healthcare Services, LLC has a wide range of services that can be given in your home for an illness or injury. We have an effective care system, just like you would receive in a hospital or in any skilled...
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...
Remedium Healthcare, MD is a home care provider that services Cheverly, MD 20785. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other...
Welcome to Pleasant Care and Nurse Staffing! Pleasant Care and Nurse Staffing is your local source for reliable care. Our company is proudly a part of the community in Maryland, Washington, D.C. and Virginia. We serve...
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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.