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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
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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 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 compassionate care in the comfort of your home.
American In-Home Care is committed to offering a variety of affordable and personalized in-home care options to local senior residents. We offer free in-home consultations to help determine the perfect care provider for your loved one based on their needs and interests.
Angel Hearts Home and Companion LLC - Our team of skilled and experienced professionals is dedicated to delivering the highest quality of care and support to our clients. We work closely with families and caregivers to ensure that our services meet the unique needs of each individual.
Sheree Ellingson’s experiences caring for her father inspired to acquire Senior Helpers of West Jacksonville in 2008. Sheree and her Orange Park-based team of caregivers and staff are committed to delivering the best possible in-home care to seniors in the Jacksonville community.
Based on the principle that everyone deserves to be treated with compassion and respect, our team of professional caregivers is dedicated to providing personalized care in the comfort of their own homes or in a hospice setting. With a deep understanding of the physical, emotional, and spiritual needs of our patients, we strive to deliver the highest quality of care.
Concierge Care of NE Florida offers non-medical home care services that are designed to support individuals with activities of daily living. We help seniors, veterans, the disabled population, or anyone requiring some level of assistance In addition to the outstanding, compassionate care caregivers provide, our team will help you secure benefits and arrange direct payment, so you do not have to worry about finances.
Expert in-home care, from our family to yours. Family Life Care provides support services for physical, mental, emotional and spiritual well-being for all ages and abilities. Sometimes things happen that challenge independent living for you or your loved ones. From pediatrics to geriatrics, we provide a vast array of services from temporary help to full-time skilled nursing care. Family Life Care is one of the leading in-home health care providers in the Southeast. Our growth is a result of referrals from satisfied customers who know that we treat you and your loved ones with the same degree of care and respect we would expect for our own family.
Exactly What You Need For Everyday Needs. Journey in the Garden Training is about education being a passport to new beginning. We currently assist Floridians with are our in-home companion services. We want to be the experience you can trust , and service you can count on. Choose our Company to develop your caregiver skills or to find assistance with daily living for your Love ones. Our Story: Journey in the Garden was Founded by Taiesha Whitaker, to provide high-quality, non-medical services to seniors and individuals in Northeast Florida. We assist individuals living alone, who are at great risk for falls, medication errors and mental stress from loneliness and isolation. We help your love ones stay safe and happy in their own home – at affordable prices. We Respect Your Privacy. All information about our clients and their families is kept strictly confidential. We are Licensed, Bonded and Insured to protect our clients. Our rates reflect high-quality caregiving. For you, this translates into peace of mind, and the highest quality of service. Home companion is one of our most popular services available. It’s made a big difference for many of our customers, and is provided with the highest level of excellence. With this service, we ensure all details are simple, seamless and handled in a timely manner. Whenever you work with Journey in the Garden, you can trust that you’re in great hands.
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care professionals provide care and support to help with activities of daily living such as grooming, bathing, meal preparation, light housekeeping, and laundry along with many other services. Our care professionals continually meet training and educational requirements, are insured, have been background checked and drug screened to ensure we provide the highest quality professionals for your care. We take the responsibility of taking care of you or your family very seriously. The Interim HealthCare HomeLife Enrichment Program is an exciting way of helping seniors that goes beyond just sitting with the senior and providing traditional non-medical supportive services. Interim offers a philosophy and an experience that engages seniors and contributes to not only a safe and independent lifestyle, but also one that is enriched with meaning and self-worth. When it matters most, count on us.
Locally owned and operated, Home Instead of West and North Jacksonville is dedicated to delivering a home care solution that meets your specific needs. Home Instead's devoted and experienced team provides compassionate caregivers wherever you reside.
Loving Endlessly LLC is a compassionate home care agency dedicated to providing high-quality, personalized care to individuals in the comfort of their own homes. Our team of trained and experienced caregivers is committed to enhancing the quality of life for our clients by offering a wide range of services, including assistance with daily living activities, companionship, and specialized care for those with chronic conditions or disabilities.
Co-owner of A Place At Home, Chris Adams, has cared for others since his youth when he spent his time volunteering at a hospital. His passion for in-home care was ignited after being the sole caregiver for his parents as they aged. His daughter Brittany, also co-owner of A Place At Home, has been positively influenced by her father, spending her time since childhood volunteering in senior living communities. Chris and Brittany are dedicated to improving the quality of life of seniors and their families in Orange Park. When it comes to in-home senior care and other services designed to help seniors age gracefully, A Place At Home is there to provide you with compassionate professionals to assist you or your loved ones throughout the aging process. We believe senior care does not have to be challenging. The ability to age with dignity and respect in the familiar surroundings of your own home or the place you call home is entirely possible. A Place At Home understands that every senior's situation is different. That's why our passionate, professional caregivers strive to provide seniors with the ability to maintain their independence through companionship and personal in-home senior care.
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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.