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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.*
✔
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:
Lewis Legacy Homecare is a trusted non-medical homecare agency located in Houston, Texas, dedicated to enhancing the quality of life for individuals in the comfort of their own homes. Our compassionate caregivers provide...
Yanis Healthcare services was established in 2023 out of the love for humanity and desire to help spread this love to those in need. By providing services such as bathing, grooming, hygiene, meal preparation, medication...
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
With At Your Side Home Care, you can feel confident in the care you or your loved one is receiving. You can feel comfortable knowing a dedicated caregiver is there to help. Our responsive management team is waiting to...
At Amada Senior Care North Houston, we look for ways to make simple, everyday tasks special. Our in-home caregivers not only take care of daily essentials like cooking and cleaning, they also go above and beyond to make...
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
Radiant Healthcare Inc is a reputable home care provider serving the community of Houston, TX 77042. Our home care services are tailored to enable seniors to maintain their independence and safety in the comfort of their...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
FirstLight Home Care strives to be the industry leader of The Woodlands, Northwest Houston and Katy in home care, respite care, and senior care. We work hard to ensure we have the most skilled and trustworthy caregivers....
Our in-home senior care option allows seniors to lead safe and independent lives in the comfort of their own homes. When family members of a senior need support to care for their loved one, A Place At Home – Cypress steps...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable...at home. Our trusted Central Houston staff can’t wait to meet your loved one. We want to know how many times...
Our senior care services in Houston, TX help aging adults stay engaged in everyday life with tailor-made support to stay safe and well at home. It’s our mission to provide a care plan personalized to your family’s needs...
Personal Help Unlimited LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affectionate Healthcare LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Kiddercare Home Health LLC, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Madondo Health Servces LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Altima Healthcare Services Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell of Cypress, TX we provide live-in and hourly home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our knowledgeable Care...
We are a home care agency that is dedicated to delivering exceptional quality care and making sure all of your loved one's safety and personal care needs are met. Home Care for the 21st Century is not only forward...
Divine Hands Healthcare Corporation is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mountain Springs Home Care LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AC Competent Providers Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Cypress, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HELPING HANDS FAMILY HOMECARE LLC is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
"We treat you royally around the clock" The staff at Queen's Care In Home 2 look forward to getting to know you and your family. Our desire is to help you acheive optimal health. We are here to provide comfort and...
Carewatch Home Care LLC of Cypress, TX is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Select Care Home Health Inc is a home care provider that services in Cypress, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Guided by a native Texan, Always Best Care ensures that exceptional service and care is provided to all family members. Caregivers are thoroughly screened, licensed, bonded and insured to provide the safest and highest...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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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.