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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
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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:
Quality, trust and compassion are the foundations of 4 Seasons Home Care. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
Maurina Homecare Agency was founded by a Family Nurse Practitioner and a military servicing member. Having worked in the healthcare field, I have witnessed the essence of providing high-standard care in the comfort of...
At Little Heaven Personal Home Care, providing care and dedication to our residents is our top priority. We are a team of compassionate and experienced caregivers who strive to provide the highest level of care and...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
We Care About You—And We Want You to Be Happy at Home We provide dependable, compassionate assistance with daily activities such as personal care, companionship, meal preparation, light housekeeping, medication...
At Senior Helpers, we are here to provide specific care to our community despite how big or small the task! Our goal is to keep your loved ones safe, maintaining or enhancing their quality of life. The owner, June...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
As we age or face an injury, disability, or chronic condition, simple responsibilities around the home and taking care of our physical health can sometimes become too much to handle alone. However, with the right support,...
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...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Seniors Helping Seniors® for the Atlanta Southwest region serves Douglas, Fulton, Coweta, and Cobb counties, offering in-home care and companionship services by matching active, mature caregivers with seniors who need...
Charlotte Web Private Home Care, LLC is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kimberly Cotto, owner of Amada Senior Care in Southwest Atlanta, knows firsthand the impact that accessible healthcare and quality care services can make. As a breast cancer survivor, Kimberly has spent her career...
O and D Healthcare Center is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bliss Private Home Care LLC is a family owned and professionally managed care agency. We support families that need that extra level of care including companionship. Our caregivers are committed to improving the lives of...
AGAPI HOME CARE SERVICES INC is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LOVE LANDING HOMECARE LLC is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Zeony Healthcare Services Inc is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At ZIENEM, our mission is to provide exceptional homecare services with a foundation built on love, care, and empathy. We are dedicated to enhancing the well-being of our patients, delivering compassionate care, and...
We are dedicated to enhancing the lives of our clients by promoting independence, dignity, and overall well-being. Our team of skilled caregivers strives to create a safe, supportive, and nurturing environment where...
Wellcare of North Georgia is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sessions of Care, LLC is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Next Step Home Care Agency LLC is a trusted provider of in-home care services, dedicated to enhancing the quality of life for seniors and individuals with disabilities. Based in Florida, the agency offers compassionate,...
Peaceful Home Care Services is a home care provider that services in Austell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Senior Helpers Marietta, we provide compassionate, personalized in-home care to help seniors live safely and comfortably where they belong—at home. Locally owned and deeply rooted in the Marietta and Kennesaw...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Atlanta or in surrounding areas.
With extensive clinical healthcare experience, we offer levels of service ranging from sending certified nurse aides to nursing functions that are performed under doctor orders. Our agency is clinician-owned, and whatever...
Our mission is to provide exceptionally tailored care service that promotes independence, dignity, and peace of mind for our clients and their families, fostering a nurturing environment where every individual feels...
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
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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.