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...
Professional and experienced Aides & Staff trained to individually service your love one with the upmost respect with a holistic approach. Caring about the wHOLe individuals needs.
We are committed to serving our clients and anticipating their needs. We are committed to earning trust, and following through with our commitments, no matter how big or small.
Welcome to Symphony of Care We are a local service dedicated to connecting your senior loved ones with the non-medical in-home caregiving services they need to thrive. We understand that independence is of vital...
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...
Empowering Hearts, Enriching Lives: HomeCare Advocacy Network Heartland is dedicated to providing compassionate and comprehensive home care services in Nebraska. Our mission is to advocate for the well-being of our...
St. Joseph Villa Homecare & Hospice is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SYNERGY HomeCare of Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Omaha, NE area, please contact us. We’re...
Alegent Health At Home is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place At Home owners Rick and Kris Perkins have spent the entirety of their professional careers in public service, helping those in need. Rick is a former counselor who spent 20 years with Child and Adult Protective...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Care Consultants for the Aging is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurse Providers, Inc is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exquisite Supportive Homecare 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,...
Infuscience is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ODA Homecare is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amakes Quality Home Care Inc is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primary Home Health Care, Inc is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health, LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Physicians Choice Home Health Care is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kellah Home Care's Companion Care Services are perfect for seniors who have an active lifestyle and want to save energy for doing the things they love. Our professional caregivers can take the weight off by running...
TheKey Corporate - Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aseracare Home Health is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Nursing With Heart is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Good Care LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primary Home Care is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
If you or a loved one in the Omaha area could benefit from assistance with activities of daily living such as those depicted above, please don’t hesitate to contact Amada Senior Care. You will immediately be connected...
Caring for your family like our very own since 1999 As our loved ones age, they often need help with many of the simple things in life — like dressing, grocery shopping, meal preparation, doing the laundry, and even...
Apostle Nursing Home Health Care LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carebuilders At Home's Personal Assistant Services provide task specific services, with no minimum hours requirement, providing a cost effective alternative to traditional hourly home care and allowing our clients the...
Owner Mandi Matlock knows how important it is to have an in-home senior care service that feels like family. Senior Helpers Omaha Metro understands the needs of your aging loved one and develops a custom care plan to meet...
Ify's Home Health Care is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Angels Home Health & Hospice LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Health Care Of Omaha is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Physmed Inc is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Empowering individuals and families with compassion, integrity, and expertise, Sacred Heart Agency, LLC is dedicated to providing exceptional care and support services in Omaha, NE. Committed to upholding the values of...
Custom Care Nursing provides in-home care services throughout the metro area. We provide compassionate short-term and long-term care. Our certified nursing assistants provide assistance with bathing, grooming,...
Express Home Health care LLC, Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Midwest Home Health, Inc is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Everyone who desires should have the opportunity to live independently. At Sunlight Senior Care, we are helping individuals live safely in their homes and maintain their independence, while often giving family members...
Midwest Home Health, Inc Dba Angels Care Home Heal is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Home Care Assistance of Omaha, we strive to provide the highest quality care to our clients. Our Care Managers are degreed professionals, who create a comprehensive and personalized plan of care for each client, after...
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...
At Happy Moments Home Healthcare we provide you with high-quality care!Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or...
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.