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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:
Assistance In Home Care began with a vision by the owner, Ramona Streit. 17 years ago, her brother was suffering with cancer and he required in home care. Over time, the family realized the services that were received by...
Cornerstone Caregiving is proud to serve Huntington Beach and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Experienced, Loving & Caring At Amar Care, we understand that choosing care for yourself or a loved one is an important decision. Our compassionate and experienced caregivers are here to provide dependable,...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
What sets us apart from other companies is our specialization in live-in care. Unlike higher-cost agencies that primarily offer hourly services, we focus on providing continuous, dedicated support that enhances the...
Our core mission is to provide the best personal care to our clients. We focus exclusively on personal care, assisting our patients in facing their daily challenges and undertaking their tasks comfortably. We help people...
In-Home Care Overview: Senior Helpers – Costa Mesa, Newport, Fountain Valley, Santa Ana, Orange CA At Senior Helpers, we are here to help anyway we can -- no matter how big or how small the task.
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
Home Helpers Home Care of Orange Coast is more than an in-home health care agency – we’re your extended family when family can’t be there. We’re a locally owned, trusted provider of quality, compassionate in-home care in...
If you are currently caring for a loved one that is having challenges living independently, we understand how difficult it can be. With the right kind of help, it’s possible to improve their quality of life so they can...
Our home care services and compassionate caregivers help older adults live independently in their own home and continue to do all the things they love. We do not just assign caregivers to a job. We match our caregivers...
Our Mission Loving Arms Caregiving is to be the leading home care agency in CA, renowned for our unwavering commitment to excellence, compassion, and innovation. We envision a future where every individual receives...
Comfort Keepers offers care services in Tustin, Costa Mesa, Irvine, Newport Beach, Santa Ana, Dana Point, Laguna Niguel, Laguna Woods, and the surrounding areas. Our goal is for seniors to live independently, healthily,...
Home Care Services in Newport Beach Reliable, Experienced Elderly Care Newport Beach families know the secret to quality in-home care is compassion. At Homewatch CareGivers of Huntington Newport Beach, we treat your...
Home Matters Caregiving of Orange County is an in-home care provider that services Huntington Beach, Seal Beach & Surrounding Areas. Our home care services allow seniors & other adults in need to remain safely in their...
Trusted Care, Inspired By Family At Bee Well Caregivers, we believe everyone deserves to live with dignity, comfort, and independence in the comfort of their own home. Our compassionate team provides personalized,...
In lieu of the forgoing rates for In-Home care industry, Angels for Elders was developed and established by owners who are caregivers themselves. This company is blessed with managers of courage to change the course of...
Newport Home Care Inc. is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EssentialCare is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are independently owned and operated non-medical in-home care and wheelchair/gurney transportation provider. Nu Care Newport Beach is a proud member of The Senior’s Choice Network, which is the nation’s largest...
Westcliff Nurses has been placing Nurses and caregivers in Orange and LA Counties for over 35 YEARS !. We place Nurses in the home, assisted living facilities, skilled nursing facilities, and Hospitals. CNA's, LVN's,...
Luxe Homecare is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TheKey of Newport Beach, CA is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care of Newport Beach, CA is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SERVING ALL OF SOUTHERN CALIFORNIA In Home Care Solutions, a member of the California Association of Health Services At Home, assists seniors by placing Professional Care Providers in your home. Our caregivers, CNA’a...
Caring Companions At Home is an independently owned and operated in-home care agency. We have provided quality senior caregiving services to the Southern California communities since 1999 and are a trusted resource for...
Home Care Extraordinaire was founded in 2008 on the basis of personal experience with in-home caregivers. Our experience made us realize that true personal service and compassion were missing from large franchised...
1Heart Caregiver Services of Newport Beach, CA is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Arniecare First Caregiver Services is a home care provider that services in Newport Beach, CA. 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,...
CARING COMPANIONS AT HOME, INC is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accentcare Home Health of California, Inc is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nu Care - Newport Beach is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care of Newport Beach, CA is a home care provider that services in Newport Beach, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Ace Home Care, we are dedicated to providing high-quality, compassionate, and personalized home care services. Our mission is to enhance the quality of life for seniors, individuals with disabilities, and those in need...
As a family owned, not for profit organization, Canaan Home Care is at the forefront of the home care industry. Canaan has been a partner of the State of California for over 25 years, together, raising the home care...
Acti-Kare of Central Coast Orange County provides quality in home care services to families and seniors in Central Coast Orange County including Corona del Mar, Newport Beach, Costa Mesa, Huntington Beach, Los Alamitos,...
With Koda Caregiver personal care services, we help your relative or loved one with intimate non-medical care needs. Our companion care services provide daily companionship and assistance with daily living activities (ADLs).
At Senior Helpers, we are here to help anyway we can -- no matter how big or how small the task. Our owners, Sandy and Hector Muñoz, know personally what it's like for the people in need of care and the toll it takes...
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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.