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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:
All Ways Caring HomeCare offers homecare for people of all ages and different needs. Our individualized services make us able to provide the right care at the right time, always.
Our clinicians and office staff work diligently to collaborate with your physician and team of specialists to maximize outcomes and help you to achieve your optimum level of health, comfort, and wellness. Your physician...
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 prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
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.
Happier At Home provides service in many settings. We know that individuals’ circumstances are unique, so we come to you no matter where you need us! We regularly provide care in private homes and apartments, independent...
Caring At Heart began out of a concern for how home care agencies treated their clients and handled their business. Believing that families deserve better than what was being offered, a compassionate and...
We strive to meet the needs of both patient, and family, Knox Care Services has developed compassionate home care programs that provide the right combination of quality service and profound emotional and physical support...
ENSURE HOME CARE OF SOUTH CAROLINA LLC is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Experienced, Caring & Reliable Home Care Independent living is a precious thing, but we may not realize how important it is until we can no longer safely or comfortably live on our own. If you or a loved one needs...
Right at Home - Rock Hill, SC is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels of York County, SC is a Senior Home Care Agency that provides a self-directed model for all your Senior Home Care needs. At Visiting Angels, we have our very own compassionate caregivers who can provide...
Home Health Inc is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands exemplifies compassion, dependability and dignity to all of our clients. Our company was founded on the principles of caring for others in a way that we would also want to be cared for which is made...
Acti-Kare of Rock Hill provides a full suite of senior care solutions to help seniors maintain their independence and well-being in the following areas: Rock Hill, Lancaster, Fort Mill, Tega Cay, Edgemoor We offer...
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.
HOMEBRIDGE COMMUNITY SERVICES is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MOBILE PHLEBOTOMY AND HEALTHCARE SERVICES is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Reliable Home Healthcare is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heart2Hands Care Services - Rock Hill, SC is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medical Experts Here to Serve You. What started off as a small community of practitioners has turned into a Home Health Agency committed to serving you. At Christals Home Services, we provide high quality home care...
Attentive Care Solutions is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Relax and Respite is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Better Days Homecare offers personalized in-home care services for seniors and individuals with disabilities. Our compassionate caregivers provide support with daily activities, medical care, and companionship, creating a...
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.
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...
At Beloved Home Healthcare of the Carolinas, our mission is to provide compassionate, personalized, and high-quality home healthcare services that enhance the dignity and quality of life for our clients and their...
Carolina's Caregivers is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALLEGIANCE HOME CARE OF THE CAROLINAS is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heavenly Hands Family Services is a local agency that was built on integrity, love, kindness, and compassion. We are dedicated to being involved in the care of your loved one and fully committed to improve the lives of...
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...
Excel Home Care is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Best Care has proudly served the senior industry since 1996 providing valued services to over 25,000 families. Remember, our goal at Always Best Care of Rock Hill is to meet your needs and exceed your expectations...
A Mother's Choice Home Healthcare Agency Inc. is a home care provider that services in Rock Hill, SC. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
Seth Zamek and his team of professional caregivers have been providing high quality in-home care services to seniors in York, Chester, Kershaw and Lancaster counties since 2008. Whether you need access to companion care,...
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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.