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:
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 - Gaithersburg, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
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...
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...
A Homemade Plan of Lanham, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
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.
Capital City Nurses CHC- Local/DC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care and Beyond Homecare is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
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.
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...
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...
Capital City Nurses - Columbia is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
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...
Best Care Home Care is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
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...
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...
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...
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...
Prime Care Solutions - Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are committed to providing the highest level of quality and affordable care possible to your loved ones in the comfort of their home. Our Care Providers will continually strive to treat each and every client with...
TLC Care Services, Inc. ensures that all our clients are completely comfortable when we provide them with the treatment services they are prescribed with. Our philosophy of care revolves around specifically meeting unique...
We are a licensed non-medical home care agency serving the state of Maryland. We provide excellent in-home care services for seniors and anyone who are in need of care in the comfort of their homes. Sarah’s Peace &...
Bwell Healthcare, Inc. is a state licensed residential service agency providing complex skilled nursing services with non-skilled and Supervision of Aides to clients in the comfort of their homes. In addition, we offer...
Amiable Home Health Inc of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cardinal healthcare Solutions is an in-home healthcare service agency located in Laurel, Maryland. At Cardinal Healthcare Solutions, inc. you can find skilled, experienced staff who has helped clients just like you and...
JemiSun Healthcare Services is a home care provider that services in Laurel, 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.
Welcome to AMD Healthcare Services, your trusted partner in providing compassionate and personalized non-medical in-home care services in Laurel, MD. At AMD Healthcare Services, we understand the importance of maintaining...
Victorias Garden Healthcare Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adrianna Healthcare Solutions LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Making a Difference in Our Community At Interim HealthCare we understand how important it is to have someone you can depend on when you or someone you love wants to sta-y at home to maintain the highest level of health...
SnS Divine Home Care was founded on the desire to help others live comfortably in their own homes. We offer to our clients individualized in-home support services, assisting the senior population, disabled and others...
EverCaring Inc. is a Maryland licensed Residential Service Agency (RSA) and a Nurse Staffing Agency. We provides skilled and unskilled in home nursing care at affordable and competitive rates in Maryland and its...
Marcie Home Health Care aims to provide care, assistance and support in ways that is safe and satisfactory to all of our residents at the comfort of their homes. At Marcie Home Care, we will work with our resident, those...
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...
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...
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...
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.
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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.