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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:
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
At jomay homecare, our nurses and caregivers are our greatest assets. we pride ourselves in providing the highest quality care vital to the health and well-being of our patients. our nurses and caregivers who chose the...
2nd Family - Eldersburg is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allied Nursing Services is a dedicated healthcare provider focused on delivering high-quality nursing care and support to patients in various settings, including homes, hospitals, and long-term care facilities.
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Are you looking for a healthcare professional to care for a loved one or to fill in the vacant positions in your facility? BZED Home Healthcare and Staffing provides both home health care and healthcare staffing in Owings...
We understand that the first step in determining what type of care is most appropriate is to first meet with a client for a complimentary in-home assessment and visit. Our goal is to help you experience the least...
At GAVA Healthcare, we are a licensed home care agency serving Maryland. As a locally owned family business, we are dedicated to providing compassionate and personalized care services to people of all ages. With a deep...
Best Care Home Care is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When considering your path to recovery, it’s essential to be informed about your choices so that you can make a well-informed decision. The same principle applies when you’re aiming to enhance your overall well-being,...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Healthcare Services of Maryland provides supportive and skilled nursing home care services. The first step in our service process starts with a free personal consultation with a Healthcare Services of Maryland Registered...
Ella Stewart Care is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Touch Home Care of BA is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carefirst Health Care Services is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a leading Home Care Company, dedicated to providing exceptional services in dementia care, personal care, companion care, medication management, and skilled nursing care. Our team comprises highly skilled...
Citadel of Healthcare is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a leading Home Care Company, dedicated to providing exceptional services in dementia care, personal care, companion care, medication management, and skilled nursing care. Our team comprises highly skilled...
Elizabeth Cooney Home Care, Inc is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carewell Companions is a leader in client dedication, integrity and excellence in in-home Companion Care. Our team of dependable, caring, and friendly CareGivers assists clients of all ages with non-medical home care...
At Comfort Zone Health Care Services we care for your loved ones as if they are our own. With over 100 caregivers in the Baltimore area we are well equipped to make sure we have the right staff member assigned to work...
Bayada Nurses is a home care provider that services in Towson, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Homewatch CareGivers, we pride ourselves on being one of the oldest and most trusted providers of customized in-home care services. We know that inviting someone into your home is an important and complex decision,...
Full of Joy Support Services is a Home Health Care agency located in Towson, Maryland. We are an agency driven to meet and exceed the needs of our clients through a personalized approach to quality home health care in...
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,...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health.
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...
Our primary objective is to bring more enjoyment to the lives of those who find it increasingly difficult to function well on their own. We remove the burden of stress from both the person needing assistance as well as...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
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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.