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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:
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We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Home Instead® is serving the Central and North Atlanta community by providing safe and compassionate in-home care. Their passion and goal is to enrich the lives of Atlanta seniors and their families.
Charlotte Web Private Home Care, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
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...
Thank you for choosing My Healing Angels, your primary source for companion and personal care services. We are dedicated to provide excellent services for all your home care needs. We strive to build personal...
A L Gordon Care Group Inc is a home care provider located in Roswell, GA 30076, offering services designed to help seniors remain safely in their own homes while receiving necessary medical or personal care.
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
We understand that receiving care at home is a personal decision. At Harmony Angels, we’re dedicated to providing compassionate and high-quality care that allows you or your loved one to live life to the fullest, in the...
CARMIE LOVING CARE, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We strive to improve the lives for the elderly and disable along with their families in the Atlanta metro areas. Our compassionate caregivers provides one on one assistance that help clients to remain happy and...
At Sunrise Medical Group, we are dedicated to providing compassionate and personalized care that enhances the quality of life for our clients. Your well-being is our top priority. Let us be your trusted partner in...
Dedicated Care Partners of Georgia is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BAMA HOME CARE LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to OneCare Health Services. For years, OneCare Health Services has been providing individual clients and their family members with the best possible home care solutions. We are proud to have a highly trained...
PRIVATE HOME CARE IN THE COMFORT, CONVENIENCE OF YOUR OWN RESIDENCE At Optimum Home Care ,we want you to be in control of your health. We endeavor to keep you healthy, comfortable and independent in your home, around...
Open Door Healthcare, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sapphire Personal Care Associates LTD is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HEARTHSTONE HOME CARE SERVICES, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
GEORGIA PEACHCARE SERVICE LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A NEW FAITH PRIVATE HOME CARE LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ON OUR WAY HOMECARE LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that not one care plan fits all. Daily nursing services and personal care services can include anything from medication administration, meal preparation, hygiene, cleaning, and supervision. We will take the...
Medi-Cure is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LILLIES TOTAL CARE, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primary Healthcare Resource Services, LP is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gaia Health, LLC is a home care provider that services in Stone Mountain, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
S & S Home Care Services is a home care provider that services Stone Mountain, GA 30087. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
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.