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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:
Always Best Care of Charleston is a preferred senior care organization that is recognized for providing top-notch in-home care, personal assistance, and assisted living services. Partners in business and in life, Rick and...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead Senior Care® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance...
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...
BAYADA Home Health Care in Charleston, SC provides personal care services and non-medical assistance with activities of daily living (ADLs) for adults and seniors when a health issue has made it difficult to manage...
Our Home Care Services The realization that Mom or Dad isn’t an all-knowing superhero is one everyone discovers as they age out of childhood. That doesn’t make it any easier when the tables turn and the ones who cared...
Barry and Amy Petersen-Smith and their team of well-trained professional caregivers have been providing exceptional in-home care to seniors throughout Charleston, Dorchester, and Berkeley Counties. Whether you need...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
MURCO ELDERCARE is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dhec Region 7 Home Health Services is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Purpose of Hope In-Home Care is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health Of East Charleston is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Angels Sitter Service of Charleston, SC is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BLESSFUL HOME CARE is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Wellsdale Home Care, we take your trust and safety very seriously. You can have peace of mind knowing that we only employ thoroughly screened, registered caregivers in order to promote a safe and comfortable environment.
Intrepid USA Healthcare Services is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Addus is proud to be a nationally recognized provider of high quality, in-home care services with over 30 years experience. Our breadth of services include Contractual Home Care, Personal Care, Homemaker, Respite, Care...
Hattie's Legacy is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services that are specifically structured to...
Roper-St. Francis Home Health is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Commonwise provides companionship and personal care services wherever our clients call home. We also offer care management support for clients who use our companionship and personal care services. Each care...
Franklin C Fetter Home Health is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of North Charleston is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bathing Bathroom and Continence Dressing Feeding Personal Hygiene Transfer Assistance from a Bed or Chair Walking Support Grocery Shopping Laundry Light Housekeeping (Kitchen & Laundry) Maintaining a Clean,...
At A Plus Home Care Solutions, we pride ourselves on delivering high-quality care tailored to each client’s unique needs. Our team of home health aides is highly trained, compassionate, and committed to providing care...
Since 1996, ComForcare has specialized in delivering qualified, guaranteed home care services to your community. Our comprehensive range of non-medical care services have helped thousands of people recover and prosper in...
All Ways Caring Home Care - Charleston, SC is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring For You Home Care is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Home Care LLC is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healing Hands Healthcare & Assistance is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of Charleston is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Home Care-Charleston is a family owned provider of in-home care services that are non-medical in nature. We enable individuals to stay in their homes by assisting with vital daily activities including meal...
Caregivers Unlimited, LLC - Summerville, SC is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Phc Home Health is a home care provider that services in Charleston, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Focused on helping you or your loved ones remain safe and independent in their familiar surroundings, in-home care includes professional services ranging from companionship to skilled nursing*.
For over 30 years, Carolina Health Care has been working to ensure that you are able to abide at home during a time of need. Experienced caregivers enable our clients to thrive in the comfort of their own home by...
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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.