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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:
Whether you need assistance with daily tasks, require specialized care for a chronic condition, or recover from an illness or injury, Cora Healthcare Services is here to help. We believe in treating our clients with...
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Home Helpers® Home Care is a home healthcare service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and...
Comfort Home Care Services has been a proud member of the local Stafford, Virginia community since 2010. We provide the most exceptional level of care to your loved ones by treating them as our own. We strive to enhance...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Your loved one deserves care that’s nothing less than extraordinary. At BrightStar Care® of Fredericksburg / Springfield, our experienced, trustworthy, and compassionate care professionals provide a full range of services...
Mary Washington Hosp HHA is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home & Heart Health, Inc is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
N & R Quality Care is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Reynolds Home Health Care is a home care provider that services in Fredericksburg, VA. 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...
Gentle Embrace Home Care, LLC is a home care provider that services Fredericksburg, VA 22408. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal...
SE Home Care is a home care provider that services in Fredericksburg, VA. 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,...
Magnolia Home Care, LLC is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prince of Peace Home Care Services, LLC is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With Care Advantage in-home care locations across Virginia, we are poised to deliver the best possible services to all manner of clients in their home. We vow to make a positive contribution in the communities we serve...
HomeWell Care Services of Fredericksburg, VA is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aban Care Services has been dedicated to delivering top-quality home care services since the beginning of the decade. We recognize the significance of reliable and trustworthy caregivers for your loved ones in all...
Freedom Caregivers Home Services LLC is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Home Touch Home Care LLC is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Nurse Service of Fredericksburg is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cuidado Casero Home Care of VA is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Virginia Healthcare Services Of Fredericksburg is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Rakeb Home Healthcare, LLC is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At home senior care from Visiting Angels makes aging in place possible. What is aging in place? It's the term used to describe the desire most seniors have to continue living in their own home; the desire to live at home...
HomeWell Care Services of Fredericksburg, VA is a home care provider that services in Fredericksburg, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glamour Homecare is a privately nurse owned and operated non-skilled homecare agency. It is our goal to meet and exceed the individual needs of clients who prefer to remain in the comfort of their homes but need...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Our most valued asset at iCare is our team; they are not just employees; they are family. We are fortunate to work with nurses and caregivers who want more than a job; they are dedicated people who are eager to work hard...
Legacy of Care Touching Hearts at Home was founded by Renae Peterson, who began providing professional caregiving services to seniors, older adults, and those in need in 1996. Integrity, empathy, and the belief in the...
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...
Better and Best HomeCare LLC is a privately owned home care agency in Fredericksburg, Virginia. Our mission is to provide quality care and loving companionship for individuals who are in need of varying levels of care -...
At RAKEB HOME HEALTH CARE, LLC, we specialize in providing a comprehensive range of home health care services tailored to meet the unique needs of our clients.
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
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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.