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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At Homewatch CareGivers of Eden Prairie, we understand the profound importance of compassionate care and the difference it can make in your loved one's life. Our dedicated team is committed to providing professional and...
Our mission here at Leophane Care: To enhance the health and well-being of our community by providing compassionate, high-quality healthcare services through dedicated professionals and advanced medical practices.
We believe seniors deserve to choose how, when, and where they receive care. We understand true comfort comes when people feel seen and understood. Our process is to put you and your loved one in the center.
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We’ve established ourselves as a leader in trustworthy, experienced care for children, chronic patients, and those aging in place with a team with the skills and know-how to deliver on our promise.
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At Desire Living LLC, our mission is to empower individuals to live fulfilling, independent, and dignified lives within the comfort of their own homes and communities. We are dedicated to delivering compassionate,...
Advocate Health Care Services is a reliable, patient-centered home health care agency with a high-standard approach to care. We are more than caregivers—we are companions, advocates, and trusted members of your extended...
At ameriCARE Twin Cities North, our caregivers help seniors, veterans, those recovering from surgery, and individuals managing chronic illness thrive in the comfort of their own home.
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At FirstLight Home Care of Saint Paul, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have...
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Royal Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Crest View Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Rem Health Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nightingale Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over 20 years, Allied Professionals, Inc. has been providing Twin Cities Residents experienced health care professionals for private, personalized home care and personal assistants. We have been very fortunate to...
Supporting independence,dignity and quality of life... Since 1996 ComForcare has specialized in delivering affordable, guaranteed home care services to your community. Our comprehensive range of non-medical care...
American United Care,LLC “Caring is our passion” About American United Care We are people centered home health care agency licensed by the state of Minnesota. We are committed to providing high quality care and customer...
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Baywood Home Care,formerly Homewatch Home Care, is a Minnesota Class-A Licensed Home Care provider that is locally owned and managed. We have been making it possible for Minnesota's seniors to live their lives at home,...
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alleviaCARE is dedicated to providing seniors with the opportunity of remaining comfortably in their own homes while they receive care. We coordinate all services and care necessary to supply seniors with the healthcare...
Intrepid USA Healthcare Services is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
iCare Health Pro is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand how important it is to find care you can truly trust. Our company provides compassionate nursing and basic home care services designed to bring comfort, safety, and peace of mind to you and your loved ones.
Why Choose SYNERGY HomeCare? Living independently without the need for help feels good. But, what happens when you need just a little bit of help at home to stay safe and healthy? Sometimes it’s not so easy to ask or it...
At Senior Helpers, we are here to help anyway we can to help you or your loved one live safely at home. Our caregivers receive the highest quality training through online education, hands-on practice in our Center of...
We provide a variety of needed in-home senior care services, like general companionship, light housekeeping, cooking, shopping, transportation to / from appointments or events, medication reminders, fall prevention...
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...
Wisdom Match is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Minneapolis–St. Paul and Surrounding Areas provides compassionate, reliable in-home care to seniors across the Twin Cities. Locally owned and operated by Paul and Laurie Barthol, who bring more than 15...
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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.