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:
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Amedisys Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our services are provided by trained, insured and bonded Caregivers. All Caregivers must possess previous verifiable experience in caring for seniors, children or disabled individuals. Each applicant undergoes a criminal...
Methodist Alliance Home Care is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Baptist Trinity Homecare is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Homechoice Health Services is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessing Assurance Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels of Memphis, TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our family caring your yours. Here at Senior Care Management Solutions, we are a locally owned Family Business committed to the care of seniors and the disabled of the Mid South. Janice and Jason Gibert lead a team...
Trinity Care Homes & Transit Services LLC is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Health Care Caring enough to Change the lives of people one family at a time Premier Health Care was founded to bring together reliable, quality employees who are dedicated to provide the highest level of...
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We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Senior Services Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Licensed Home and Community based personal support services provider. Assistance with activities of daily living including personal care and light homemaking. Work with long term care insurance carriers and hospice....
Tender Loving Care is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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True Alliance Home Care TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Services in Memphis, Tennessee. Help is essential to people with disabilities and illnesses. Considering family members’ responsibilities and other worries, hiring caregivers is beneficial. Knowing such...
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"Taking empty nesters to care nesters". Because of our hands-on approach and our individual real life experiences, senior caregivers stay with Care Nests In Home Senior Care on the average of 5 to 7 years. Our friendly...
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Feel better in the comfort of your own home. At Universal Supportive Care we specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness,...
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Americare Home Health Agency is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assure Senior Partners, LLC is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Companions associates are exceptionally trained professionals who regard their work as both a ministry and an opportunity to use their talents and experience to aid those who may suffer loss of independence and...
Home Health Care of West Tennessee, Inc is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxim Healthcare Services, Inc is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained,...
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Our mission is to empower clients to live their best life within a family-focused atmosphere. A place where friendship will serve as the center of a foundation of love.
Our Mission is to improve the quality of life for those we serve, through the delivery of excellence, extraordinary service and compassionate care, while being recognized as the leader in home care services.
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...
Audrey possesses 14 years of experience as a nurse, including the specialties of home care and hospice nursing. Audrey says, “As a nurse, I have been privileged to develop personal relationships with individuals and their...
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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.