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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:
Senior Care You Can Trust, Support You Can Feel If you’ve found your way here, you’re likely looking for reliable help for someone who means the world to you… and we’re honored to be considered.
Home Helpers of Tarpon Springs has over 20 years of comprehensive care experience working with seniors and those who are differently-abled. We work to make certain our program provides for your in-home care needs today and tomorrow.
Cornerstone Caregiving is proud to serve Clearwater and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care plans tailored to their needs. With a commitment to compassion and reliability, Cornerstone stands out as a trusted partner in maintaining independence and dignity.
Cornerstone Caregiving is proud to serve St. Petersburg and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care plans tailored to their needs. With a commitment to compassion and reliability, Cornerstone stands out as a trusted partner in maintaining independence and dignity.
Interim HealthCare of Clearwater, FL has been supporting your aging loved ones with expert care for over 50 years. Our mission is to improve people's lives, and we are here to provide the highest quality in-home care services your loved one needs so they can stay safely and comfortably at home.
Homewatch CareGivers of Palm Harbor is more than just a collection of caregivers; we're an extension of your family. Our goal is to enhance the lives of our clients by providing them with the care, respect, and dignity they deserve. If you or a loved one needs in-home care, we invite you to discover the Homewatch CareGivers® difference.
Right at Home provides trusted high quality care to seniors living in Pinellas county and surrounding areas. Right at Home helps you design a Custom Care Plan for your loved one. We make certain that our Right at Home Caregivers do their jobs with compassion, knowledge, and professionalism.
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional care.
As your Liaison we facilitate a direct-hire relationship with independent caregivers who have the skills, credentials and experience that match your care needs. You can rest assured that the caregivers are fully vetted including background checks, professional reference and employment verifications.
Founded in 1997, Home Helpers is the nation’s leading senior care franchise specializing in non-medical and personal care and companionship for seniors, new mothers, those recovering from illness or injury and individuals facing lifelong challenges.
Preferred Care at Home of Land O’ Lakes has the privilege of assisting clients to improve their quality of life while still recognizing and maintaining their dignity and independence. We provide a variety of senior home care services so you can find what’s just right for you. We understand that long-term care can be costly, which is why we have focused on building a reputation of offering access to quality services at affordable prices.
At Home Instead Senior Care, we operate by the principles of providing personal care as we build relationships and enhance the senior community in Clearwater, FL. We tailor our services to fit your family's lifestyle and budget, and our offerings can help people at any point in the aging process.
Retro LifeCare has blended the values and nostalgia of yesteryear with a medical model managed by licensed, experienced healthcare providers to promote our Elders’ well-being and self-worth. Let the CarePartners at Retro Home Health Care help keep your independence and dignity while staying at home. We will listen to your needs and help create realistic family goals.
Ivana's Home Care, LLC is a home care provider servicing all of Pinellas County, Fla. Home care allows seniors to remain independent and safely in their home while receiving assistance with personal care and other daily tasks.
Truly Activ will help you build a plan that can adapt to you and your family member’s changing needs. Our staff offers Companion Care for early stages Alzheimer’s and dementia. Patients have special needs, both physically and mentally, and must be patiently engaged.We also include families and caregivers in the care process, offering valuable information, guidance and – most of all – support.
Complete Home Care is dedicated to providing compassionate, reliable, and personalized home care services that help individuals maintain their independence and dignity in the comfort of their own homes.
For 45 years, Visiting Nurse Association of Florida (VNA) has been the first choice for Florida residents in need of quality home health care services. Visiting Nurse Association of Florida is a Medicare-certified home health agency that provides award-winning health care for patients in the comfort of their own homes, including post-surgical care, Alzheimer’s monitoring, care following a hospital stay, physical therapy, and much more.
Senior Helpers of Clearwater is owned and operated by Glen and Michelle Scharfeld. During his 20-year career as a law enforcement officer, Glen encountered many seniors in need of companionship and personal care services both within their homes and communities. The Scharfelds and their Spring Hill-based team provide high-quality in-home care to families throughout Hernando, Pinellas, Pasco and Citrus Counties.
Nurse Next Door is a premium home care company dedicated to redefining the senior care experience by focusing on both physical health and emotional well-being. Through our Happier Aging philosophy, Nurse Next Door empowers seniors to rediscover activities that bring them joy, purpose, and independence, all while staying in the comfort of their own homes.
Home Care Partners provides specialized senior care services to help your loved one age in place. Our Caregivers are specially trained and work closely with our clients to ensure the best quality of life for your aging loved one and peace of mind for your family.
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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.