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.
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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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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...
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CHERISHED COMFORT HOME CARE is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPESeniors Helping Seniors - Greater Columbia Area, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Chappell Companion Care is a trusted provider of non-medical in-home care dedicated to helping seniors and adults maintain independence, dignity, and quality of life in the comfort of their own homes. With a strong focus...
A1 HOME CARE is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Vision At Ablake Healthcare, our vision is to provide innovative care solutions that enhance the quality of life for our patients in their own home. We aim to be the leading agency in the industry, known for our...
CONNECTED HEARTS HOME CARE LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beautiful Beginnings Home Care, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care That Counts Caregiver Services LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Columbias Care Service LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANGELIC HELPERS is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abounding Angel LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AT HOME HEALTHCARE SERVICES LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carolina Health Care Columbia is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Angelic Helpers of Columbia, SC, our mission is to uplift lives through acts of compassion, care, and community support. We are committed to being a guiding light for individuals and families facing challenges,...
Compassionate Private Duty Sitters is a home care provider that services Columbia, SC and surrounding counties. Home care services allow seniors to remain safely in their own home while receiving assistance with personal...
ANDERSON HOME CARE of Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for Others, LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANOTHER LEVEL IN-HOME CARE is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Bell's Home Care Professionals - Columbia, SC is a home care provider that services in Columbia, SC. 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.
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Affirmative Home Care is a leading provider of comprehensive home healthcare services, dedicated to enhancing the quality of life for individuals who require medical and non-medical assistance in the comfort of their homes.
Dependable Home Care LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carepro Home Health is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blue Capital Homecare LLC / Angies Helping Hands is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ENHANCED TOUCH HOME HEALTHCARE & WELLNESS is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ASPIRE STAFFING is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Careon Home Care LLC (Careon) was formed by registered nurses who have managed healthcare experience with commercial insurers, Medicaid, Medicare, TRICARE and Veteran services. We are certified case managers (CCM) and...
A SENIOR SITTER SERVICE LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Carolina Home Health Care is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Abliss Healthcarae, our mission is to provide exceptional and compassionate home healthcare services that empower individuals to live with dignity, independence, and comfort in the familiarity of their own homes.
Duplicate - Home Helpers Home Care of Columbia, SC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Another Level In-Home Care LLC is a home care provider that services in Columbia, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Akin Home Care is dedicated to providing high-quality, personalized in-home care services for individuals who need assistance with daily living activities.
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
My educational background includes a Master’s in Business Administration, from Southern Wesleyan University with a minor in finance and accounting (Strayer University). I am a phlebotomist, nursing assistant, Med Tech,...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Columbia or in surrounding areas like Forest Acres, West Columbia, or St Andrews.
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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.