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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
Our mission at Ambience In-Home Care is to ensure seniors maintain happy and healthy lives in the golden years. We provide older adults with high-quality home care in Richardson that enables them to continue living at...
Eric vanGoethem, Owner of Amada Senior Care Dallas, has made it his mission to help seniors live safely and comfortably for as long as they can in the comfort of their own homes. Eric deeply empathizes with families who...
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...
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
Our Senior Helpers team of caregivers is dedicated to helping our senior neighbors stay independent and comfortable, whether at home or in a facility. We take pride in offering personalized care that not only enhances...
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
Sean McLeod, owner of Amada Senior Care in Denton and Frisco, knows through the experiences of loved ones (as both a care provider and a care recipient) that quality care affects not only a patient, but also his or her...
We understand that home care needs extend beyond the traditional work hours of 9 to 5. That's why our North Dallas team is available 24/7 to address any questions or concerns that you might have. Reach out to us any time...
Compassionate and Personalized Home Care in Rockwall Navigating the journey of caring for aging loved ones can be daunting and overwhelming. At Cornerstone Caregiving Rockwall, we specialize in providing compassionate,...
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,...
Lone Star Visiting Caregivers is a Texas-based home care agency that prides ourselves on our carefully selected, trained caregivers who prioritize empathy and connection, ensuring clients receive reliable and respectful...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
Our path is simple- to make a difference to our clients while helping them achieve their best selves, providing best possible individualized care from people who truly care. We understand life has lots of journeys and...
We Provide Care We trace our success as a company to the simple and enduring philosophy that ageing is a gift. The wealth of knowledge and experience that comes with age is a gift to the individual & the family. We work...
Americansenior is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care of Plano / North Dallas, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support...
Homewatch CareGivers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adelaide Home Health LLC is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your Home Health Experts. Quality Care You Can Trust. Getting over a particular injury or need some home care from a certified practitioner? Since 2021, our team of professionals have made themselves readily...
Legacy Home Health Care is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Caregiving is a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Frisco or in the surrounding DFW metro area.
Family Nurture Home Health is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell Care Services of Plano, TX, is a full service in-home care firm serving the larger North Dallas, TX, area. HomeWell Plano was built by caregivers who cared for their parents before and after joining the in-home...
ATHENA WELLNESS CONSULTANTS LLC is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Hsmc Home Health is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Careful Care Services Llc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cerna Homecare provides top quality bonded and insured, senior care services including hourly, live-in and 24/4 care. We provide specialization for people with mobility issues, Dementia, Alzheimer’s, Parkinson’s, Stroke...
Herald Home Health Care Llc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Koc Healthcare Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Additional Kare For Kids Inc is a home care provider that services in Plano, TX. 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...
Given the choice, most of us want to stay in our homes but may need help to do so. That’s where Ameristars Best Care in-home services comes in.... Ameristars Best Care offers quality, loving, in-home care services for...
Adelaide Home Health Llc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight Home Care is the go-to home and senior care provider in Plano, TX! Our quality caregiving solutions are perfect for the elderly, those recovering from surgery, or anyone needing help with personal care or daily...
It all starts with family. The company was founded in honor of Dede’s 10-year struggle with Alzheimer’s disease. Our 3-pronged approach to home care – highly trained caregivers who are managed by RN Care Coordinators...
J Shalom Home Health Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for aging parents and loved ones can be a challenge, especially while working to maintain your own family and work responsibilities. Integrity Home Care is proud to provide caring services when you are unable to be...
Home Caregivers of TX Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your home is our care. Helping you remain happy and at home. When life’s events require extra help Assisting Hands® Home Care provides individualized services to people of all ages, in many situations.
Aable Homehealth Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthcare Corporation of America Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1St Aid Home Health Services is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels - Richardson, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
We are committed to, not only making the patients lives better, but helping families of the patients with their stress as well. We ensure they can stop being the caregiver, and assure them that the very best care...
Good Lyfe Care LLC is a standout personal care agency based in Garland, Texas, renowned for its exceptional commitment to client well-being and personalized care. The agency excels in providing a warm, compassionate...
Artwing Healthcare Solutions is a licensed non-medical staffing agency, providing the highest quality and compassionate personalized in-home care for our clients in all counties across the Dallas Metroplex, NorthTexas,...
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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.