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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.
✔
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:
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...
Charlotte Web Private Home Care, LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Care on Call, we provide dependable, compassionate in-home care and senior home care services families throughout Atlanta, Georgia trust for dignity, comfort, and independence. We understand that inviting...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Senior Support & Aging-in-Place Assistance Our caregivers can help older adults maintain their routines and independence through companionship, personal assistance, household support, meal preparation, mobility...
2nd Family in Marietta offers in home care that feels personal, not transactional. Their caregivers support daily needs like personal care, meals, and transportation while building real relationships along the way. With...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
At Clear Care, we provide more than home care—we offer peace of mind. We are a licensed, full-service home care agency serving individuals across every stage of recovery and independence. Whether you're a senior...
Connection Bridge Oasis is dedicated to empowering seniors and individuals with disabilities throughout DeKalb County and surrounding Georgia communities by providing compassionate, person-centered care that promotes...
BrightStar Care of Cumming & Gainesville provides personalized, nurse-led home care that helps individuals of all ages remain safe, comfortable, and independent at home. From companionship and personal care to skilled...
Cornerstone Caregivers provides personalized in-home care to help older adults and individuals with changing care needs remain safe, comfortable, and independent at home. From companionship and personal care to skilled...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
At Beteli Care Services LLC our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
Butterfly Home Care - North Metro Atlanta is a provider, proudly serving families throughout Georgia with compassionate, personalized, and dependable care services. We are dedicated to helping seniors and individuals...
Tender Loving Care Staff Builders Home Health is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
EASY LIVING SERVICES, INC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HEARTBOUND HOME CARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Avalon Home Health LLC: Friendly companionship and assistance with daily activities to help maintain independence and social connection. Conversation and social interaction Light meal preparation Medication...
At Family First Hospice Care, each person we serve receives kind, personal care. We go to any place our patients call “home.” Our proven care team approach meets patient needs and exceeds family expectations. If quality...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
It’s important what we do. It’s more important who we are. At Exclusive In Home Care we strive to provide a higher standard of home care with loving, compassionate trained individuals who truly care about family loved...
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...
If you’ve been searching for a quality home care agency, either for yourself or a loved one’s care, then you’ve likely discovered a “sea of sameness” in the dozens of home care choices available. We know that it can be...
Comfort Homecare At Home LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Horizon Health Care Agency is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Judy's Private Home Care LLP is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When seeking a care service for seniors, those with disabilities, illness or recovering from injury or surgery, there are many factors to consider. You undoubtedly have many concerns and reservations. This is perfectly...
Trinity Quality Homecare is your family's trusted companion and leader in providing superior care and services for seniors, the disabled, and other individuals in need in the Atlanta Metro area. We are owned and operated...
At Opulent Angels, LLC, our team embodies our core values of compassion, advocacy, reliability, integrity, nursing, and goal orientation in every interaction with our clients.
A One Home Care is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ANGEL'S TOUCH LOVING CARE LLC is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kinsman Home Care is a home care provider that services in Alpharetta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our services range from skilled nursing and therapy services to personal care assistance and companionship, all delivered by experienced and certified caregivers who are committed to ensuring your safety, comfort, and...
Castleton Home Care offers exceptional in-home care services for seniors and individuals with disabilities. Our professional caregivers provide support with daily activities, medical needs, and companionship, ensuring 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.
We are a dedicated homecare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
At Sarah's Angels In Home Care, we pride ourselves in delivering top-notch quality care for your loved ones. Each of Sarah’s Angels are driven by personal journeys traveling down the path of caring for others. Our mission...
We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a dedicated team of compassionate caregivers, you can expect...
Let Home Helpers of Alpharetta (Serving Cumming) Create a Customized Home Care Plan to Fit Your Lifestyle! Live life your way in the comfort of home with Home Helpers of Alpharetta. Whether you’re a family caregiver...
Priority Caregivers of Atlanta, LLC provides compassionate, non-medical in-home care that helps seniors live safely and independently at home. We offer personalized support with daily activities, companionship, personal...
Family‑owned provider of in‑home care services tailored for seniors in North Atlanta. They deliver compassionate, dignified support through highly vetted, CPR-certified caregivers, under the oversight of a licensed RN,...
At Regency Home Care of North Atlanta, there is no higher priority than the health and safety of our clients. When a loved one requires extra care and assistance, turn to Regency’s certified expert care staff, because...
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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.