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:
At Home Instead, our families live and work in Houston, so we're invested in our community on a very personal level. We offer friendly, responsive home care services right in your neighborhood. If you or a loved one could...
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....
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.
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...
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...
Since its inception, Cardinal Senior Care has been rapidly growing. Our Cardinal Senior Care management team brings to the company a diverse set of backgrounds with over 40 years of experience in service, hospitality,...
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...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
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...
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...
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...
Our comprehensive home care is customized for seniors based on their individual needs and preferences. Our dedicated and reliable caregivers have helped thousands of older adults live happily and safely in the comforts of...
Nelo Health Care Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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We are fully committed to providing the services needed to improve our patients activities of daily living, lessen the stress on family, and support our surrounding community.
Welcome! We would like to introduce ourselves and our company. Home Helpers® is a franchise that has been in the care-giving business for over fifteen years and has been operating for eighteen months in the Greater Katy...
Adonai Home Healthcare LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ND HEALTHCARE SERVICES INC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
D Life Healthcare Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Hug Away Healthcare Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mana Homehealth Agency Llc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sunshiny Days offers a unique combination of non-medical care and community-based social services to senior citizens or adults with disabilities needing care at their home, either temporarily or long-term. Market research...
Eprimetec Health Services is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Ebra Home Health Services is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Memorial Home Healthcare Incorporated is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Onlex Healthcare Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Truly Patience Home Care LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing 24/7 Compassionate Caregivers in Houston and Surrounding areas. We serve all neighborhoods and nearby towns including: Katy, Pearland, Spring, Tomball, Humble, Galveston, Conroe, Hunstville, and more.
Every home-bound individual deserves to feel better in the comfort of their own living space. This is why we specialize in providing in-home assistance to a wide array of clients with varied care needs, whether it is...
Royal Caregivers - Katy, TX is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TUNNIKS HEALTH CARE LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wellness Healthcare Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medpsych is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CareBuilders At Home of Katy is a trustworthy, home care solution for you. All of our team members are drug screened and background checked prior to providing services for your loved one. We also provide continuing...
Standard Care Homes is a home care provider that services Katy, TX 77449. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
PJ CARES HEALTHCARE is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health of Northwest Houston is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To be the leading home care agency in Texas, recognized for our unwavering commitment to excellence, innovation, and exceptional care. We envision a future where every individual receives the support they need to thrive...
Texas Home Care & Associates is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jacques Healthcare Services Llc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MAJESTY HOME CARE LLC is a home care provider that services in Katy, 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...
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...
A Life Saver Home Care offers cost-effective care in the comfort of your own home. We provide empathetic, skilled caregivers directly to your loved one's home or hospital. Our goal is to help your family member age in...
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.