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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:
Our caregivers assist with activities of daily living such as bathing, dressing, grooming, and medication reminders, promoting personal hygiene and overall wellness.
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...
At Senior 911, we believe that we must provide excellent senior care and that every person we encounter is treated with dignity, kindness, and respect. We provide families with peace of mind that their loved one is safe...
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...
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...
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...
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...
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...
Janet McLaren, owner of Amada Senior Care Snellville, views her role as part of a larger commitment to our population of cherished seniors in Greater Snellville and surrounding areas. To Janet, elders create the...
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....
Always Best Care combines national strength and standards with local accessibility and personal service. The team at Always Best Care Atlanta has your loved ones’ best interests at heart, and will ensure that exceptional...
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...
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,...
Welcome to SYNERGY HomeCare of Suwanee. Up to 24-hour home care. CARE THAT MOVES YOU. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with...
At BrightStar Care of Lawrenceville, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support for our...
At Senior Helpers of Lawrenceville, we know how challenging it can be to get the help you or your loved one needs. We have been in the exact same spot as you are in now.
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.
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.
Charlotte Web Private Home Care, LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
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.
Assisting Hands Home Care® grew out of a desire to provide seniors, and others needing non-medical assistance at home, with the option that most people prefer – to remain independent, safe and comfortable in their own...
We are operated and owned by individuals dedicated to improving the quality of life for seniors. We work with a knowledgeable staff of nurses, and allied health care workers who are dedicated to providing quality care and...
KABOD HOME CARE LLC of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FMH Personal Care is a trusted home healthcare agency dedicated to providing personalized, compassionate care that allows individuals to maintain their independence and quality of life in the comfort of their own homes....
J & B Home Healthcare is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
C and M HEALTHCARE, INC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BEST OPTION HEALTHCARE LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing loving and kind healthcare assistance for individuals and their loved ones is a responsibility that we at Pro–Hands Home & Health Services expertly shoulder. If you are considering getting the needed help to aid...
A Healing Touch HomeCare Solutions LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique 3 Home Care LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
L and W Legacy Home Care, Compassionate In-Home Care Services At L and W Legacy Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
MEHK HOMECARE INC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Azalea Home Care provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, ensuring comfort, safety, and independence while enhancing the quality of life for seniors...
Tender Hands Private Home Care of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Home Partners, Inc. is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Understanding companionship, personal care, skilled nursing care, respite services, and home support services to physically challenged and dependent individuals who need assistance with day to day chores from the comfort...
OOB ComForCare Home Care of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We deliver in-home care and personal care assistance to seniors, pediatrics, and the disabled so they can age in the place they love with comfort and safety, giving you peace of mind.
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...
Heavenly life homecare is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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,...
Loving, caring, and experienced in providing in-home non-medical care. Dedicated to supporting clients with daily living activities while promoting comfort, dignity, and independence. Compassionate, reliable, and...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, we are here to provide you with home care services, specifically structured to cater to your...
At Amada Senior Lake Lanier, we get to know the seniors we work with so we can provide an enriching care experience. We go beyond the typical caregiver tasks with personal touches that brighten the days of our clients. We...
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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.