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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:
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
Home Instead provides companionship services, personal care and other practical support services for seniors in the Southeast Houston area. Our CAREGivers deliver at home individualized senior care with compassion because...
At Home Instead we have come together as a group of dedicated professionals to deliver an exceptional home care solution that meets your needs. Our trained, screened and bonded CAREGivers serve your family's senior loved...
Senior Helpers of Central Houston is the premier provider of in-home senior care in the Houston area. Knowing your loved one is happy, safe and cared for is your priority … and ours too. Our wide range of services ensures...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
Senior Helpers of Central Houston is the premier provider of in-home senior care in the Houston area. Knowing your loved one is happy, safe and cared for is your priority … and ours too. Our wide range of services ensures...
Yanis Healthcare services was established in 2023 out of the love for humanity and desire to help spread this love to those in need. By providing services such as bathing, grooming, hygiene, meal preparation, medication...
Radiant Healthcare Inc is a reputable home care provider serving the community of Houston, TX 77042. Our home care services are tailored to enable seniors to maintain their independence and safety in the comfort of their...
Ventex Home Health Agency Inc is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Fcr Home Health Care Services is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Benevolence Home Care is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1 Golden Life Home Care is here to make your lives better by providing Non-Medical Home Care in Pearland, Texas and the surrounding areas. We can assist you in finishing various daily tasks while ensuring that you remain...
ADA Home Care is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Twenty First Century Solution Home Health Services is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There are many reasons why someone may need at-home care. Whether recovering from an injury, living with a disability or simply growing older, the familiarity and comfort of continuing to live at home can be tremendously...
Mynurse Home Care Inc is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team recognizes the complexities of the challenges that come with aging. For this reason, Cornerstone is proud to offer personalized care that’s within reach. You can start right away with a phone call to your local...
Dusk To Dawn Care was established to fulfill a specific need in our community. Quality home care for seniors, the disabled, and convalescent patients that offers people the opportunity to remain in their homes whilst...
Mission Statement Interlink Care Solutions LLC exists to provide comprehensive, high quality home care services to our clients by creating strong, interlinked partnerships with their families, case managers, discharge...
Home Care Options provides non-medical personal care, also known as personal assistance services, with activities of daily living (ADLs) for adults and seniors when a health issue has made it difficult to manage these...
Friendly Faces Senior Care is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precision Healthcare Services is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Magnificat Home Healthcare Services Llc is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care of Southeast Houston is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
JOMA HOME CARE SERVICES, LLC is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether you’re a new mother freshly returned from the hospital, your spouse is recovering from major surgery, or your aging parents need more substantial assistance, sometimes you and your loved ones need help at home....
Holiness Home Healthcare Corp is a home care provider that services in Pearland, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Assisting Hands' trained dependable caregivers and personal assistants provide professional in-home care services to residents in Brazoria and Galveston counties. We provide companionship, meal prep, medication reminders...
Griswold Home Care of Southeast Houston provides customized care plans for quality senior care with the unique Griswold model in the comfort of your own home. We help Houston area seniors with services such as personal...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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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.