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:
At Senior Helpers, our dedicated team is committed to providing assistance in any way possible, addressing tasks both big and small. With our licenses, bonds, and insurance, coupled with a roster of carefully screened and...
Better Place Better Life is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are confident that we can bring you only the best in our services as we have a team of skilled and experienced practitioners whose goals are congruent and compatible with our Mission Statement at Omni Home Health
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Worcester and surrounding communities providing...
Arcadia Health Care provides community based services in the homes of elderly; or individuals with occasional or on-going home care needs. The goal of our agency is to work with consumers who need a little help or...
Your trust means the world to us, and we’re dedicated to delivering extraordinary care and unwavering support to you or your cherished family members. Our committed team is always here, prioritizing your well-being and...
For over 30 years, Griswold Home Care has been referring the best Caregivers. We only refer Professional Caregivers that pass our stringent “CareAssure Screening System”. For your peace of mind, all of our Caregivers have...
Acclaim Home Health Care, Inc is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Clenel Medical and Therapy Staffing is a home care provider that services Worcester, MA 01605. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal...
Overlook Visiting Nurse Association Inc is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Umass Memorial Home Health is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, we are here to provide you with home care services that are specifically structured to cater to...
Gentle Touch Inc. is a non-medical home care agency. We service Worcester and Middlesex Counties and our mission is to help our clients achieve their optimum quality of life while maintaining their personal dignity and...
Vizion One, Inc is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Middlesex Healthcare Services Middlesex Healthcare Services was founded by a team of experienced clinicians with a strong commitment to quality home health care. As a patient-focused team, we understand that each of...
Neelex Homecare Agency LLC is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique Nursing Staffing Agency is one of the most reliable Nursing Staffing Agencies in Massachusetts. Our practitioners provide the best healthcare services and cater to the specific needs of each client. We bring high...
Ace Medical Services, Llc is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Health Care of Worcester is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
VNA Care Network is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Over Quantity Care is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Overlook VNA - Worcester is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KEPA Home Care, LLC is your trusted source for top-tier home health aide services in Worcester, Boston, Springfield, Lowell and surrounding. Our team of dedicated and highly trained in-home health aides is committed to...
Green Hills Home Care LLC is more than an in-home health care agency, we are your extended family when your family can’t be there. Our home care agency offer compassionate in-home care assistance. Also, we work with you...
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...
Senior Helpers Milford-Franklin was established by Sravanthi Sareddy, who is an advocate for high-quality senior care. At Senior Helpers Milford-Franklin our primary goal is to help provide a high quality of life for our...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Worcester, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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.