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:
Touching Hearts at Home Southern Dallas provides compassionate, non-medical in-home care that helps seniors remain safe, comfortable, and independent at home. Services range from a few hours of companionship each week to...
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...
Stephen Conway opened Senior Helpers Fort Worth in 2013 due to his commitment to delivering the best possible in-home care to seniors in the Greater Fort Worth community. After winning a battle with cancer, Steve was...
Cornerstone Caregiving is ready to assist with care starting as soon as TODAY! We have no specific minimum hours required, we are available for an hour at a time up to 24 hours a day, and you can schedule us any time day...
Comfort Keepers of Roanoke, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
Griswold Home Care of Fort Worth and Southlake is proud to be backed by a national franchise brand with over 40 years of experience. Griswold is a pioneer in the home care industry and continues to set the standard for...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
Every care plan is customized to fit your loved one’s unique needs. Whether it’s short-term assistance or long-term care, we are here to provide dependable, compassionate support every step of the way. Let us help your...
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...
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...
Services may include companionship, personal care assistance, meal preparation, medication reminders, mobility support, light housekeeping, respite care, and assistance with activities of daily living. Brightcare Home...
A Safe Haven Care Home is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Allstar Healthcare Services Inc of Pantego, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Classic Home Care is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Anda Homecare,LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All Care Professional Home Health Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assured Best Care Home Health Llc of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Aubree Home Care, where we redefine the standards of non-medical home care services in Dallas, Texas, and beyond. At Aubree Home Care, we understand the importance of maintaining independence and dignity while...
ComForcare is a premier provider of non-medical, private duty home care services for people of all ages. Our caregivers can assist people with the activities of daily living in any setting they call home, whether it is...
Austoria Health Services Inc. offers a unique wellness experience for seniors and young adults, by providing the best personal in-home care. We are dedicated to the highest quality of personal in-home care services,...
Comfort Givers is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care For All Home Health is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Oak Health, located in Arlington, TX, is a dedicated non-medical in-home care agency focused on providing compassionate and personalized support to individuals and families. We offer a range of services including...
A Touch Of Grace Care LLC, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Calvary Hill Health Services Llc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Available Home Care Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Thinking about professional in-home care for a senior loved one or yourself? The professional senior home care services team at Amada Senior Care of Arlington and Mansfield offers compassionate companion care and...
CARE LITE HEALTHCARE LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Almond Healthcare Services is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abundant Living Home Care Services, LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acredable Healthcare Services LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abundant Home Health LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALPHA OMEGA GROUP HOME INC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Able Hands Home Care is a trusted non-medical home care agency serving Tarrant County, TX. We provide personalized in-home support—including personal care, companionship, and daily living assistance—to help seniors and...
Care Haven Home Care is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carebridge Solutions LLC is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Hearts Home Health Care LLC is a home care provider in Texas that assists elderly loved ones to regain their confidence and independence in living their everyday life. Our Home Care in Arlington, Texas...
Allstar Healthcare Inc is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Ariel Home Healthcare, our PAS program provides essential assistance with daily tasks that have become challenging due to aging, disability, or recovery from illness or surgery. Unlike skilled nursing care which...
ComForCare Home Care of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accurate Choice Healthcare Services Inc of Arlington, TX is a home care provider that services in Arlington, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
At Homewatch CareGivers of Keller Grapevine, we understand the importance of finding a reliable and trustworthy caregiving provider for your loved ones. Whether you’re an elder adult or someone of any age with a health...
At A&T Moore Health Care, we know that although needs change, dignity remains important. That’s why we offer superior home care from compassionate and qualified caregivers.
Our caregivers and personal assistants help overcome challenges and make home an even better place to be. We include everything from specialty senior care, Alzheimer’s and Dementia care, personal companion services,...
Comfort Keepers of Carrollton provides compassionate, customized in-home care services for seniors and disabled individuals throughout Carrollton and surrounding communities. Their trained caregivers offer companionship,...
Compare Home Care Agency Costs & Services
×
Success!
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.