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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:
Home Instead® is serving the Central and North Atlanta community by providing safe and compassionate in-home care. Their passion and goal is to enrich the lives of Atlanta seniors and their families.
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.
Charlotte Web Private Home Care, LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
To be Georgia's most trusted home care agency, delivering compassionate, personalized, and innovative care solutions that empower individuals to lead independent and fulfilling lives in the comfort of their own homes. We...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
At Tender Hands Private Homecare, we are dedicated to providing personalized support and high-quality care solutions for all seniors and persons with disabilities in the comfort of their homes. We are committed to...
ComForCare Home Care - Southeast Atlanta, GA is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANGELS TOUCH PERSONAL CARE HOME is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Monitors patient condition by observing physical and mental condition, intake and output, and exercise. Supports patients by providing housekeeping and laundry services; shopping for food and other household...
At Infiniti Home Care Services, our vision is to redefine home care by fostering a nurturing environment that promotes independence, dignity, and well-being. Our mission is to provide compassionate and professional care,...
Beacon Lifecare is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Neither giving nor receiving care is easy. Senior Care Providers puts relationships first to support those giving care, to protect the dignity of those receiving it, and to enhance the quality of life for both seniors and...
ALPHA HOME CARE SOLUTIONS, INC of Decatur, GA is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care the Wright Way is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alpha Personal Care is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Oasis Family Care is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Martha Home Healthcare Services delivers personalized and compassionate in-home care solutions. Our dedicated team prioritizes individualized attention, dignity, and respect for each client, enhancing their quality of...
AMICASA HOME CARE CORPORATION is a home care provider that services in Decatur, 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 compassionate team of professionals is skilled in providing optimum personal care services for individuals of all ages and varying needs. Our ultimate focus is to make the lives of our clients easier and happier by...
Experience Heartfelt Care with Two Caring Hands Private Home Care LLC Here at Two Caring Hands Private Home Care LLC, we provide quality care designed to make living at home and community integrations easier. We believe...
ROSEMOND HEALTH ALLIES LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PERSONAL CARE, INC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Unique Healthcare & Staffing Services, LLC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Olivia’s Place, LLC is a family owned private care home specializing in Short and Long-term Care. We have over 20 years experience in nursing, elderly care and home health care. We are devoted to insuring that our...
ComForCare Home Care of Southeast Atlanta takes a client-centered approach to home care. We meet each potential new client in their home, prior to beginning home care services. Our caregivers work closely with patients...
Experience Heartfelt Care with Two Caring Hands Private Home Care LLC Here at Two Caring Hands Private Home Care LLC, we provide quality care designed to make living at home and community integrations easier. We believe...
Rem-Kiks Health Care Services is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
XCEPTIONAL CARE INC is a home care provider that services in Decatur, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PROVIDING OUR CLIENTS WITH AFFORDABLE HIGH-QUALITY CARE IN THE COMFORT OF THEIR HOMES. Schedule a Free In-Home Assessment with our Nurse Practitioner to develop a personal care plan customized to meet your healthcare...
Synergy HomeCare strives to provide the utmost comfort and highest quality of life for our clients every day. Trust our qualified caregivers to provide personalized assistance and the highest level of care.
Its Home LLC is a trusted home care agency based in Atlanta, Georgia, providing personalized and compassionate care services to individuals in the comfort of their own homes.
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.