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.*
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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:
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
The Best Care Available at Very Affordable Rates At our agency, we believe everyone deserves compassionate, dependable, and personalized care in the comfort of their own home. Our dedicated caregivers are here to...
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...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
Our Mission To provide compassionate and dependable home care that allows seniors to remain safe, comfortable, and independent in the place they call home. We are dedicated to delivering personalized support that...
Compassionate Care. A Brighter Path at Home. At Brighter Mission, we help seniors and adults with disabilities feel supported, respected, and comfortable at home. Our personal care, companionship, homemaker, and respite...
At Magnolia Adult Care we understand that every situation is unique, and our caregivers are trained to offer personalized assistance tailored to your specific needs. If you are seeking a reliable care provider in the...
At Beteli Care Services LLC our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
Executive Home Care of Alpharetta provides compassionate in home support to help you remain safe, comfortable, and independent. Caregivers assist with daily activities, personal care, companionship, and memory support,...
Oak Home Care, LLC provides compassionate, dependable in-home care for seniors and adults throughout the Atlanta area. Our caregivers help clients remain safe, comfortable, and independent in the place they know...
Connection Bridge Oasis is dedicated to empowering seniors and individuals with disabilities throughout DeKalb County and surrounding Georgia communities by providing compassionate, person-centered care that promotes...
Our Vision Our vision is to support individuals who wish to remain safely in their homes by providing reliable, compassionate care that meets their daily needs. We strive to make a meaningful difference not only in the...
2nd Family in Marietta offers in home care that feels personal, not transactional. Their caregivers support daily needs like personal care, meals, and transportation while building real relationships along the way. With...
Charlotte Web Private Home Care, LLC is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
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...
1Heart Caregiver Services is a trusted provider of compassionate, in-home care designed to help elderlies and families maintain independence and quality of life at home. We connect clients with carefully screened, trained...
Homekeepers Healthcare is a licensed Companion Care registry that offers you choices......and a better way! We specialize in live-in home care that enables your loved ones to maintain their freedom, and a well...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Roswell and Surrounding areas to provide...
Angels On Wheels HomeCare is dedicated to providing you with quality care from our professional, compassionate caregivers. We strive to be the best at HomeCare Assistance to give you a peace of mind while caring for you...
ABUNDANT LIFE ASSISTED SERVICES, INC is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Our mission is to provide remarkable and compassionate home care services that promote independence, and quality of life for our patients and their families. We endeavor to deliver the highest level of care.
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,...
ABH Personal Support Services is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A L Gordon Care Group Inc is a home care provider located in Roswell, GA 30076, offering services designed to help seniors remain safely in their own homes while receiving necessary medical or personal care.
Lotus Family Care LLC is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FAMILY PRIVATE CARE offers premier caregiver referrals to seniors in the comfort of their residence. All caregivers are thoroughly screened using the strictest screening criteria possible. This assures seniors and their...
Since 1975, Bayada Nurses has helped people have a safe home life with comfort, independence, and dignity. Bayada Nurses provides skilled, rehabilitative, therapeutic, and personal home health care services to children,...
Safeway Healthcare, Inc is insured and licensed in the state of Georgia to provide Personal Home Care services in the following counties:- Cobb, Dekalb, Fulton, Clayton, Gwinnett, Forsyth, Rockdale, Coweta, Feyett and...
Loving Comfort Home Care LLC, GA is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abundant Life Assisted Services is an in-home care service provider designed to deal specifically with the needs of the elderly, disabled, and chronically ill individuals in the area who wish to remain in their homes. Our...
Rasmussen Home Care and our experienced caregivers have served seniors and their families with exceptional home care. We provide older adults in Atlanta Georgia and the broader community with one-on-one support that...
The family caregiver program with InterMed Homecare provides financial and educational support for you to deliver care at home to your senior or disabled family member.
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...
Alliant Home Care, LLC, Compassionate In-Home Care Services At Alliant Home Care, LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
Honeybee Homecare is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our carefully curated, individualized wellness plans are one of a kind and just as unique as your needs. We view health through a multifaceted, holistic model of care. We serve all of Georgia, specifically...
At Roswell Home Care, our goal is to keep you or your loved one safe in the comfort of their home, enhancing quality of life and preserving independence. We commit to providing exceptional health care services in a...
Golden Home Services is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ASR HOME CARE, LLC is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Blissful Home Care, we’re a locally-owned, family-run business built by compassionate caregivers who truly understand the needs of those we serve. With over 16 years of experience in critical care nursing and 10 years...
At PrimeCare Providers LLC, our mission is to deliver premier, compassionate, and reliable care services that enrich lives, promote independence, and support the holistic well-being of every individual we serve. We are...
Brookdale at Home of Roswell, GA is a home care provider that services in Roswell, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With extensive clinical healthcare experience, we offer levels of service ranging from sending certified nurse aides to nursing functions that are performed under doctor orders. Our agency is clinician-owned, and whatever...
Every Alpharetta family faces the challenges of caring for a senior family member differently. No matter the circumstance, the right caregiver can give you and your family respite while helping your loved one enjoy daily...
Experienced owner with demonstrated history of working in the hospital & healthcare industry. We provide care from few hours a week to 24 hours a day, 7 days a week, including overnight services and or live-in services....
At Regency Home Care of North Atlanta, there is no higher priority than the health and safety of our clients. When a loved one requires extra care and assistance, turn to Regency’s certified expert care staff, because...
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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.