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:
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....
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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...
If you’ve been searching for a quality home care agency, either for yourself or a loved one’s care, then you’ve likely discovered a “sea of sameness” in the dozens of home care choices available. We know that it can be...
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...
At Care on Call, we provide dependable, compassionate in-home care and senior home care services families throughout Atlanta, Georgia trust for dignity, comfort, and independence. We understand that inviting...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
At PrimeCare Providers LLC, our mission is to deliver premier, compassionate, and reliable care services that enrich lives, promote independence, and support the holistic well-being of every individual we serve. We are...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We our licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
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...
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...
We offer -Personal Care Our caregivers assist with daily hygiene needs including bathing, grooming, dressing, mobility, and toileting to support comfort and independence. Medication Support We help clients manage their...
At Aarons Home Care our commitment is to transform the way in-home care is experienced—by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and comfortably in...
Serenity Care Home provides compassionate, personalized in-home care that helps seniors and adults maintain their independence while remaining safe and comfortable in their own homes. Their dedicated caregivers offer...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
We are dedicated to providing exceptional care and peace of mind to families and their loved ones. If we can be a help to you or a family member contact us for more information.
Home Instead Snellville offers individualized in-home senior care right in your neighborhood. Our trained, screened and bonded CAREGivers are serving Georgia communities with compassion and devotion.
Charlotte Web Private Home Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Seniors Helping Seniors® in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing...
Isabella Care of Atlanta provides professional, compassionate, and dependable caregivers that will meet the unique needs of your loved ones while they maintain their independence, dignity, and comfort of being in their...
AGELESS HOMECARE SERVICES INC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Magnolia Adult Care, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blair Care LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dementia Support Specialist provides specialized supportive in-home care to all people seeking these kinds of services, not just with dementia! Although our area of expertise is Dementia Care, we know how to care for...
North Georgia’s premier home health company, where we specialize in personalized care solutions for individuals in need. Our dedicated team views themselves as an extended support system for clients and their families,...
With our heartfelt compassion, our caregivers don’t just assist with daily tasks; they form genuine connections. We understand that aging or dealing with health challenges can be overwhelming, so we approach each client...
River Oaks Healthcare System, Inc. is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
From delivering specialized home care to managing everyday tasks, or simply keeping your loved one company, we’ll work with you to develop a custom home care plan that compassionately responds to your loved one’s needs,...
Acti-Kare of East Gwinnett, GA provides tier one in-home Personal care. Our trained, insured, and bonded caregivers will provide your loved one with in-home personal care services across a broad range of categories. As we...
Divine Home Nursing prides itself on having a dedicated and passionate team that will strive to deliver a sense of compassion, awereness, safety, and exceptional skilled and personal in home care to our clients. Why...
We are Anita Houde and Aparna Kanitkar, friends for more than 20 years, and now serving together as a part of Homewatch CareGivers of Johns Creek. We have a deep passion for caring and serving others and are glad we have...
1st Option Health Care LLC, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Help at Home of Atlanta - North East, GA is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ATLANTA ONE STOP THERAPY is a unique and powerful healthcare practice serving adults and children where the focus is to develop a customized treatment plan for each of our clients.
LEE HOME CARE, LLC is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABC Home Care Services, LLC stands out as the premier choice for those seeking compassionate and reliable home care. With a dedicated team of trained professionals, we prioritize the well-being and comfort of our clients...
Staff Builders Home Health is a home care provider that services in Duluth, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Dependable Homecare LLC our commitment is to transform the way in-home care is experience by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
Would you or a loved one benefit from in-home senior care in Duluth? If so, please contact us at Amada Senior Care in Duluth for a Free Care Needs Consultation. We specialize in providing comprehensive, non-medical,...
At SnK Homecare LLC, our mission is to provide compassionate, reliable, and personalized home care services that empower individuals to live with dignity, independence, and a higher quality of life in the comfort of their...
We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a dedicated team of compassionate caregivers, you can expect...
Discovery Homecare provides personalized in-home care services tailored to meet the unique needs of each individual client. Our team of dedicated caregivers is committed to enhancing the quality of life for our clients...
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,...
Family‑owned provider of in‑home care services tailored for seniors in North Atlanta. They deliver compassionate, dignified support through highly vetted, CPR-certified caregivers, under the oversight of a licensed RN,...
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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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.