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:
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.
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...
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...
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....
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...
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...
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...
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 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...
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...
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.
Quality Senior Care At Home in Hoschton, GA Believing that all seniors should be treated with dignity and respect, our mission at Saving Grace is to provide individualized care that shows our passion for your loved one,...
Why Choose BrightStar Home Care With an emphasis on comprehensive person-centered care, our team at BrightStar Home Care Duluth is committed to helping clients maintain their independence in the home where they feel...
Our Mission Shabbat Shalom Care’s mission is to care for our clients the same way we care for our own family — with patience, kindness, respect, and genuine love. We aim to bring peace into every home we enter, providing...
Welcome to Flamede health! We provide efficient, effective, comforting and loving short-term and long-term in-home care. We are here to care for the needs of your loved ones from Pediatric to elderly & disabled. We...
US Home Care Agency is just the perfect fit for your needs. Our agency has an exemplary staff, and support team that provides a wealth of personalized in-home care services. We provide care at the comfort of your home...
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...
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...
enTouch Home Care provides compassionate, non-medical in-home care focused on helping seniors and adults remain safe, comfortable, and independent at home.
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.
Kind Hands Loving Heart Private Home Care Agency specializes in compassionate dementia and memory care in the comfort of home. Led by Administrator Kadian Facey-Martin, who brings over 18 years of healthcare experience,...
Agate Home Care works with families to provide dependable and compassionate home care for people of all ages. Agate Home Care is family owned and locally operated. We value your family as our own. Agate is a...
At Doctor Bird Home Care, we provide compassionate, non- medical support that helps clients feel comfortable and cared for in the place they love most – their home.
Our caregivers assist with activities of daily living such as bathing, dressing, grooming, and medication reminders, promoting personal hygiene and overall wellness.
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
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...
At Opulent Angels, LLC, our team embodies our core values of compassion, advocacy, reliability, integrity, nursing, and goal orientation in every interaction with our clients.
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...
Dependable Homecare 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...
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,...
Nurturing Caregivers In-Homecare LLC is a reliable provider of home care in Duluth, Georgia that serves seniors, people with disabilities, and individuals who are recovering from a severe injury or illness. We strive to...
When it comes to caregiving services, you can always depend on Elite Homecare Agency. Our caregivers are all knowledgeable, trained and experienced in providing round-the-clock care, assistance and support to your elderly...
Silver Linings 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...
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.
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,...
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...
At Home Care Solutions LLC, we believe that tailored care makes all the difference. Our experienced caregivers deliver thoughtful, reliable support—from daily living assistance to medication management and emotional...
Open Arms And Loving Hands, 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...
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.
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...
Miryam Loving 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...
We provide professional Nursing, personal care and companionship services allowing our clients to safely remain in their own homes or senior living community. Nursing Care Wound care
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...
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,...
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.