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.
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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:
Cornerstone Caregiving is proud to provide in-home care and an array of services like palliative care, respite care, senior care, Alzheimer’s & dementia care, and assistance with activities of daily living in North San...
Aging At Home Caregiving is your trusted partner in ensuring your aging loved ones thrive with dignity and independence, right where they feel most comfortable—at home. We specialize in providing compassionate, customized...
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've been there. We understand. Neither giving nor receiving care is easy. Home Instead Senior Care® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance...
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...
FirstLight Home Care of Carlsbad & La Jolla provides private home care services that allow seniors and other adults to receive the support they deserve in a comfortable, familiar setting.
Home Care Services in La Mesa, CA PROVIDING QUALITY CARE AND PEACE OF MIND Home Helpers® Home Care in La Mesa, CA offers professional in home supportive services to help seniors and adults remain safe and independent in...
Elite Home Care in San Diego was established on both personal care experiences with our own loved ones as well as over 20 years of family members involved in the health care industry. We concentrate on providing practical...
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...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
For over 10 years, Whole Life Home Care has helped our clients stay self-sufficient, in good health and in their own homes at every age and every stage of life. Serving greater San Diego County, we offer the kind of care...
Senior Helpers - Escondido, CA is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We have the privilege of helping people preserve their independence - and keep up with the demands of daily living - in the familiar surroundings of their own homes. Whether your elderly mother needs help with meals and...
David Wallace opened Senior Helpers San Diego in 2008 after seeing how a professional caregiver brought joy and peace of mind to his late grandmother—and to his entire family. David’s personal caregiving experiences...
Senior Helpers San Diego County is owned and operated by Jennifer Fernandez. Every day, our dedicated caregivers go into clients’ homes to provide high-quality, compassionate care. We take the needs and preferences of our...
At Hannah's Angelic Care LLC, we strive to be a beacon of support, enhancing the quality of life for our clients by delivering compassionate, respectful, and personalized home care services. We believe in fostering a...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
Childrens Homecare is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
At Coast Care Partners, we provide premier home care and care management services for San Diego seniors, and we have two main objectives: first, to always put our clients’ needs first, and second, to be a dedicated team....
We offer companionship, driving to appointments and daily living services. We also help you navigate the complexities of long-term care insurance (LTCi) claims. Our goal is to enable a safe and enjoyable environment so...
AccentCare of San Diego is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
About UsAall Care In Home Services is a non-medical home care provider that has served the San Diego community since 1988. Aall Care is owned and operated by a registered nurse whose goal is to provide the finest care...
Certified Care Managers are available to coordinate the needs (hospital/doctor/evaluations,etc) when your loved one (friend/family) is miles away. Your personal care assistant can provide you or a loved one with...
24 Hour Home Care - San Diego is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aadvanced Nursing and Home Health Services Inc is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A CARING TOUCH HOME CARE is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American Health Services of San Diego, Inc is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARING ENTERPRISES INC. DBA RIGHT AT HOME (duplicate do not call) is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Caring began serving seniors in 1991 promising “when family can’t be there…we can.” Staying true to this principle, we continue to improve our services to better meet the needs of our clients and bring positive changes to...
Angel Quest Home Care is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
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...
We offer our clients personalized non-medical support services in their homes, assisting the elderly, disabled and others needing assistance to maintain quality of life. Our services support the individual’s choices and...
Assistive Health Systems delivers comprehensive in-home care services tailored to seniors and individuals with disabilities. Our skilled caregivers provide assistance with daily activities, medical support, and...
Advantage Health Systems is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aspire Home Healthcare is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Passion for Care of San Diego, CA is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1Heart Caregiver Services of San Diego, CA is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At BrightStar Care Carmel Valley / Rancho Santa Fe, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve....
Care Plus Home Care is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
As a family owned, not for profit organization, Canaan Home Care is at the forefront of the home care industry. Canaan has been a partner of the State of California for over 25 years, together, raising the home care...
All Heart Home Care is a home care provider that services in San Diego, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team at FirstLight Home Care provides more than just help at home for you or your loved one – we provide peace of mind. Our trusted and highly trained caregivers are skilled in a range of non-medical services for...
Dedication to serving the San Diego County community by delivering the Gold Standard in home care with warmth and compassion. Passionately advocating for seniors and individuals in need of home care. Commitment to...
Acti-Kare of San Diego, CA provides tier one in-home Personal care. Our trained, insured, and bonded caregivers will provide your loved one with in-home personal care services across a broad range of categories. As we...
Senior Helpers East San Diego was established in 2020 by advocates for high-quality senior care. At Senior Helpers of East San Diego our primary goal is to help provide a high quality of life for our clients and their...
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.