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 of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
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Cowans Home Care It is our mission to improve one’s quality of life within the comfort of their home by providing high-quality services that exceed industry standards amongst our elder population. We honor a vision to...
At Home Instead, our families live and work in Houston, so we're invested in our community on a very personal level. We offer friendly, responsive home care services right in your neighborhood. If you or a loved one could...
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
Since its inception, Cardinal Senior Care has been rapidly growing. Our Cardinal Senior Care management team brings to the company a diverse set of backgrounds with over 40 years of experience in service, hospitality,...
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...
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...
The “We are CARE” philosophy is a commitment to our core values of being Compassionate, Accountable, Respectful, and Ethical. These values are incorporated into every interaction A Place At Home has with the families we...
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...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Gablink Medical Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Med Source Healthcare Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Consolidated Home Health is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Daystar Professional Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Promede Home Health Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Davis Home Health LLC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PartnerCare Health provides compassionate and comprehensive home care in the Houston area, emphasizing comfort, safety and companionship for the elderly and individuals requiring support. Home caregivers act as...
Tandem Health Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MED SOURCE HEALTHCARE SERVICES INC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Pax et Vita Hospice & Home Care, LLC, we value our patient’s physical and emotional well-being. Our experienced and compassionate staff are here to help patients, their families and caregivers throughout the transition...
Fortune Home Health Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Innovision Home Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Contact Care Health Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Comcare Health Services LLC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to BEC Healthcare Services, Inc., your trusted partner in providing comprehensive and compassionate home healthcare services in Sugar Land, Texas. At BEC Healthcare, we are committed to empowering wellness and...
Alpha Med Home Health Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Crescent Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthlinks Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Starching Home Health is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ES HEALTH SERVICES INC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maria Regina Home Health Agency Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Psalm 23 Health Services is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Little Flower Homehealth is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ultralink Healthcare Corporation is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mytos Home Health Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anis Healthcare Services Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BEC HEALTHCARE SERVICES, INC is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
transforming Care, Enhancing Lives: Welcome to Banner Home Care Services, where compassion meets expertise. With a dedicated team of caregivers, nurses, and professionals, we provide unparalleled support tailored to meet...
Jubilee Health Care Inc is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
CareWorks is a home care provider that services in Sugar Land, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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.