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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:
As caregivers of older parents and young children, we’ve been in your shoes and know how challenging it can be to effectively manage these roles while also juggling careers and the busyness of life. That’s where Stay Home...
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...
Senior Helpers of Murfreesboro makes it their mission to help seniors age at home with dignity. We want to take away the complications and daunting idea of finding the right type of in-home care. We work hard to provide...
Our staff strives to help each client achieve their desired functional outcomes. At Companion Home Care we strive to provide the Gold Standard of care to improve quality of life for the elderly, through aging in place. We...
Our team of Caregivers will work with you to fully understand your loved one’s needs and make the best decisions for their quality of life and peace of mind. We are one of the nation’s leading providers of senior care and...
Cornerstone Caregiving is a senior home care provider in Murfreesboro that is trained and ready to help your loved one today. Our trusted caregivers can start care right away; no deposit or contract is required. Our...
Exceptional service is something we never compromise on. With decades of experience in providing integral care in their communities, our professional teams will ensure that your safety and well-being come first.
HoneyHill HomeCare is a non-medical home care agency that understands your needs on a personal level. Our agency is family owned and operated and believes that we have an option for anyone seeking non-medical home care...
My name is Melissa Warren; I am the Owner of @HomeCare. Our company is different than any others you see in the local marketplace because we’re owner-operated by longtime Murfreesboro resident Melissa Warren. That...
HoneyHill HomeCare conducts free home assessments to evaluate the needs of all clients. Once the needs of the care recipient have been assessed, our agency will assist the client and their loved ones in their decision on...
Nhc Homecare Murfreesboro is a home care provider that services in Murfreesboro, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Amada Senior Care Nashville, we are passionate about enriching lives by creating an outstanding and nurturing care experience for our clients and their families. We take care of the big picture by guiding our clients...
Amedisys Home Health is a home care provider that services in Murfreesboro, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are Dan and Kathy Root, and we are owners of Synergy HomeCare of Middle Tennessee, pleased to meet you! In 2018, we relocated to Middle Tennessee to live closer to family, to raise our children, and to establish our...
SENIOR SOLUTIONS HOME CARE is a home care provider that services in Murfreesboro, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Most every senior wants to age in place and remain in their home for as long as they possibly can. Unfortunately, physical ailments and restraints make this very difficult for many elderly adults. In addition to caring...
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 for you now need care...
Our 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 compassionate care in the...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly help due to aging, illness, recovery, or rehabilitation, our...
Interim HealthCare, founded in 1966, is the nation’s leading homecare and medical staffing company. Interim HealthCare of Middle Tennessee, serving Davidson, Rutherford, Williamson and surrounding counties, offers...
At Amada Senior Care Nashville, we are passionate about enriching lives by creating an outstanding and nurturing care experience for our clients and their families. We take care of the big picture by guiding our clients...
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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.