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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:
For over a decade Acti-Kare Responsive In-Home Care has provided premier in-home Personal Care to individuals across the United States. Our trained, insured, and bonded caregivers will provide in-home Personal Care...
At Doctor Bird Home Care, we provide compassionate, non- medical support that helps clients feel comfortable and cared for in the place they love most – their home.
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
We know you have countless choices when it comes to selecting your care provider. At Esther Home Care, when we say, “Serving Families Is Our Pleasure,” we mean it. You are at the heart of our service! We respect and take...
Home plus care delivers reliable, compassionate in-home support that adds comfort, safety, and peace of mind to everyday living. Caregivers provide personalized daily assistance and companionship—helping clients stay...
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...
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...
Essential Homecare Provider LLC was established with the vision of transforming the homecare industry. We strive to create a culturally sensitive, nurturing and supportive environment for both our clients and their...
Angels Home Care Caring for Angels Home Care LLC will provide Personal Care services to individuals in their own homes and communities, who need assistance with their activities of daily living as a result of old age,...
GRISWOLD SPECIAL CARE The World’s Oldest Multinational Non-medical Homecare Company Trusted Homecare at Affordable Rates GRISWOLD SPECIAL CARE refers Caregivers who provide companionship, homemaking, and personal...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
Home care services help individuals maintain their independence in a safe, familiar place. Our trained in-home caregivers assist with day-to-day tasks, build strong bonds, and make sure friends and family are aware of...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Just as growing older can allow for a more relaxed lifestyle, it can also present new obstacles and challenges. Our clients have peace of mind knowing that we are dedicated to their satisfaction and quality of life. We...
Sister to Sister Home Care provides compassionate, reliable personal caregiving services to elderly clients in Gwinnett and surrounding counties in Georgia. We are committed to delivering high-quality, individualized care...
Family‑owned provider of in‑home care services tailored for seniors in North Atlanta. They deliver compassionate, dignified support through highly vetted, CPR-certified caregivers, under the oversight of a licensed RN,...
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...
If you’ve been searching for a quality home care agency, either for yourself or a loved one’s care, then you’ve likely discovered a “sea of sameness” in the dozens of home care choices available. We know that it can be...
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...
At Opulent Angels, LLC, our team embodies our core values of compassion, advocacy, reliability, integrity, nursing, and goal orientation in every interaction with our clients.
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.
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...
Loyal Care 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...
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...
Our personal caregivers offer assistance with activities such as: - Personal grooming, bathing, toileting, and hygiene tasks - Mobility and transfers - Medication reminders and monitoring - Companionship - Light...
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...
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...
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...
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...
Trusted Hands Senior Care 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 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,...
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.
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...
BROOKDALE AT HOME ROSWELL 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...
Guardian 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...
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.
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,...
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...
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...
Accent Care 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...
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....
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....
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...
At Home Matters Caregiving of North Atlanta, we provide homecare that strives to keep our clients as independent as possible; improving quality of life, longevity and provide peace of mind.
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.