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:
Great Lakes Home Care Services is a company where you will find compassionate, competent and professional people who can help by providing services in various areas: personal care, companionship, home management,...
Senior Helpers of Grand Rapids was built on one simple belief: every senior deserves to feel safe, cared for, and respected in the comfort of their own home. Locally owned and operated by Joe Gugino, PT, DPT, MBA, a...
Cornerstone Caregiving - Grand Rapids is a home care provider that services Grand Rapids and the surrounding area. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Our team brings deep expertise across the senior care industry, with team members coming from backgrounds in assisted living, specialized dementia care, adult day care, skilled nursing, rehabilitation, hospice, senior...
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...
At CareCo – The Caregiving Company of Grand Rapids (West), our mission is to empower seniors and adults with disabilities to live safely, independently, and with dignity in the place they call home. We are committed to...
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...
At CareCo – The Caregiving Company of Grand Rapids (West), our mission is to empower seniors and adults with disabilities to live safely, independently, and with dignity in the place they call home. We are committed to...
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Grand Rapids, MI area, please contact us....
Heartland Home Care Grand Rapi is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Grand Rapids Home Health Care, Inc is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With home care services, our office can provide personal care plans through an in-home evaluation and interviews between the client, family and the ComForCare team to help determine the best plan of action for the...
Always There In Home Care is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mind & Mobility’s in-home support services like therapists and caregivers use a biopsychosocial approach to in-home care which focuses on maximizing independence, preserving cognitive and physical function. See the full...
Porter Hills Home Health Care is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our home care agency is a caring community of experts in assisting seniors with aging at home with comfort and grace. Our compassionate team members relate to each of our patients on a personal level. We believe that...
Amicare Home Healthcare St. Mar is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentiva Health Services is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1997, we have helped our clients live healthy, independent lives. We know home care needs are unique so we work closely with you, your family, and others involved in your team to design a plan of care specifically...
Africania Home Care is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gauthier Family Home Care is a family run non-medical private duty home care agency that is client / family focused. We have been caregiving for our families for 10+ years and have become passionate about giving back to...
My Purpose Home Care LLC is committed to providing compassionate, high-quality care that empowers individuals to live safely, comfortably, and independently in the place they call home.
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,...
Kiss Home Health Care is a trusted non-medical home care agency dedicated to providing compassionate, personalized support to individuals in the comfort of their own homes. Our experienced caregivers assist with daily...
Diamond Home Care Services, Inc is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We help you or your loved one maintain dignity and self-respect, while providing reliable, compassionate support.Consider us a source of incremental support for family care givers.Attentive care provided by the hour, day,...
BVN Management, LLC is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dellas Helping Hands Homecare LLC is a compassionate and reliable home care agency dedicated to providing exceptional in-home care services for individuals who require assistance with daily living activities.
Abyride LLC is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AdvisaCare Home Care - Grand Rapids is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Being a caregiver for a family member or loved one is often a job that requires a delicate balance of a career, personal family life, and juggling trips back and forth between homes, often leaving little, if any time left...
Passionate Aides LLC is a dedicated home care agency committed to delivering compassionate, personalized support to seniors and individuals with special needs. Our team of experienced caregivers provides dependable...
We offer the following: Companionship Personal Care Incontinence Care Meal Prep Assistance with feeding Light Chore Providing Laundry Transferring Assistance with Exercise to support therapy goals Medication...
Elevate Others Home Care provides compassionate, personalized in-home care that helps seniors and adults remain safe, independent, and comfortable at home. Their caregivers offer assistance with daily activities,...
Homecare of Holland Home is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Assistance of Grand Rapids is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pinnacle Senior Care is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our story starts with the owners, Matt & Beth Laming, who were the primary caregivers for their son, Andray, for 30 years. He was in an auto accident at age two and required around-the-clock nursing care. However, our...
Angels Touch Non-Medical Home Healthcare Services is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Levels 2 Consulting & Homecare is a home care provider that services in Grand Rapids, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greenhaven Living LLC is a dedicated care services provider committed to creating a safe, supportive, and nurturing environment for individuals and families seeking dependable, high-quality care solutions.
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...
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained,...
iCare Home Care Services is a trusted home care agency dedicated to providing compassionate, high-quality, and personalized care for individuals in need of assistance with daily living.
Lovely Neighbor is the “Astro-Standard” of home care—delivering immediate, professional 1-on-1 support with zero waitlists, 60-minute rapid intake, and bedside deployment when families and hospitals need it most. We help...
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...
Homewatch CareGivers of West Michigan is the premier home care agency and provider of in-home senior care and elder care services for West Michigan. With our Advanced Continuum of Care, we are able to help our clients...
Serving Lansing, Kalamazoo, and Muskegon MI. Daily Care Designed with Your Loved One in Mind. Everyone’s needs are different. When the activities of daily living become a challenge, Interim offers a real solution....
Devoted 2 U Home Care proudly stands as a woman-, veteran-, and multiculturally owned agency rooted in compassion, integrity, and respect. We understand the importance of honoring every client’s unique background and...
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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.