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.
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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:
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable...
There is nothing quite like the comfort of home. Silver Pacific Home Care and Staffing helps seniors enjoy their homes, loved ones, and live in comfort, dignity, and safety. We also help clients of all ages as they...
Our compassionate caregivers offer personalized support with daily activities, companionship, personal care, meal preparation, medication reminders, and respite care.
Help at Home, From People Who Truly Care. Golden Years Home Care WA brings warm, dependable caregivers into your loved one's home — helping with daily living, companionship, meals, and more — so they can keep living...
Cornerstone Caregiving is proud to serve Central Seattle and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Locally owned and managed, HomeWell Care Services is committed to providing the highest quality of in-home care and peace of mind for families in our community.
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...
At Mount Rainier Care, we believe that everyone deserves personalised, respectful support—right in the comfort of their own home. Whether you need a few hours of assistance or around-the-clock care, our team of dedicated...
Our compassionate caregivers offer personalized support with daily activities, companionship, personal care, meal preparation, medication reminders, and respite care.
Our compassionate caregivers offer personalized support with daily activities, companionship, personal care, meal preparation, medication reminders, and respite care.
At Classique Homecare and Staffing Solutions LLC, we believe that everyone deserves to feel safe, supported, and truly cared for — right in the comfort of their own home.
At Havencare, we believe that true care begins with compassion. Our mission is simple: to help your loved ones live safely, comfortably, and independently in the place they call home.
iding Quality Senior Care Wherever You Call Home in Tukwila, WA and the Surrounding Area We provide care in the home, wherever that may be. Whether you and your family need a short term companionship option or more in...
Homewatch CareGivers of Mountlake, WA is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family and friends are often the first and most important part of the care team, but when that support becomes overwhelming, it can strain relationships and impact well-being. Proudly serving Seattle, Bellevue, and the...
Essential Home Care NW is a compassionate non-medical in-home care provider serving seniors and adults in the Puget Sound region from its base in Bothell, WA. The agency specializes in helping clients live safely,...
Our Focus Is Helping Seniors Live Well At Home. At CarePro Northwest, we believe in creating special moments for our clients each and every day, whether at the bedside, on the phone or in the clinic. These moments...
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...
Our Story At joyfuljourneyhomecare.com, we started with a simple idea: to provide reliable and compassionate home health care services to those in need. Over the years, we have grown into a trusted provider of quality...
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...
Senior Helpers is the premier provider of senior care, wherever your senior resides. We provide in-home care and personalized care in the comfort of your own home and at other residential locations including assisted...
Locally owned and managed, HomeWell Care Services is committed to providing the highest quality of in-home care and peace of mind for families in our community.
Elite Care Northwest is a physician-owned and managed home health agency based in Seattle, Washington. Founded and led by Dr. Paradis Reed, who has over 15 years of experience in Emergency Medicine, the agency offers a...
Your independence matters. Right at Home Pierce County provides companionship, personal care, transportation, nursing services, dementia and Parkinson’s support, respite, and help after a hospital stay. Care is...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
Experience the difference of care that feels like family. 📍 Locally owned and operated in Kent, WA 💗 Licensed, trained, and background-checked caregivers 📞 Contact us today for a free in-home consultation
Warm Hearts Care is committed to delivering compassionate, dependable in-home care that enhances quality of life while promoting independence and dignity.
A CARE MANAGER ASSISTS YOU If you are like most people, you have never had to deal with matters related to care giving, so you probably have lots of questions. And, if you do have experience caring for others needing...
PROVAIL is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wesley Homes at Home, LLC is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
a Comfort and a Friend Tunga's home care agency has been open for about three years and our excellent staff have over 10 years experience in senior care. We offer affordable and dependable services and assist in making...
The Choice Care is a provider of quality home care services in Seattle & other cities such as Des Moines, Bellevue, Issaquah, Redmond, and Kirkland. We are dedicated to enhancing the quality of life for others and...
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....
Group Health Home & Comm Svs is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Professional Medical Home Care is a local, family-owned, Washington State Licensed, Home Care Agency. We are based out of King county and provide Non-Medical In-Home Care to seniors in Seattle, Bellevue, Kirkland,...
DUPLICATE - Hubaal Homecare Agency is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Founded on principles of compassion and dedication. At Caring Savvy Home Care Service, we strive to provide high quality personalized care services for our clients both in the comfort of their homes and facilities.
WITH A LITTLE HELP, INC is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Home Care, one-on-one Assistance for the Elderly and Disabled in your own home. The quality of our services is a reflection of our CAREgivers. They are highly qualified and carefully selected individuals. Each...
Highline Home Care Services is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We exist to offer a holistic approach to providing compassionate, quality, innovative home care services to people in their homes. Hospitality Home Care strives to achieve the highest standard in the industry by providing...
Seniors Helping Seniors® is committed to providing seniors in our community with the ability to choose an independent lifestyle and remain in their homes for as long as possible with the dignity and respect they deserve....
B’Zoe Home Caregiving Services was founded by Prossie Lockett, who immigrated to the United States from Uganda. Although she worked in the embassy, she opted to leave her home due to many reasons, including genocide, in a...
Integrity Care and Staffing is a home care provider that services in Seattle, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Resource Home Care proudly serves seniors and families throughout Seattle and King County with compassionate, personalized in-home care services designed to help older adults remain safe, independent, and...
Griswold Home Care is a non-medical home care company. We refer Caregivers who provide in-home care services including personal care, homemaking, companionship, and other home care services. Griswold Home Care was...
SeaCare In-Home Care Services SeaCare was born out of the need to do better for our loved ones and our community. The founder of SeaCare witnessed her grandmother receiving subpar care, and she knew the only way to make...
Acti-Kare Responsive In-Home Care of King County is a locally owned home care agency serving families across the greater Seattle area. Jennie and Wes Ruemping, local Acti-Kare owners, came to home care after Jennie's...
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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.