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:
Care America HomeCARE is a provider of home care in Orange County California that offers assistance to individuals with daily living and companionship. Our team of dedicated and compassionate professionals is comprised of...
Premier Home Care is your family's trusted companion and the leader in providing affordable personal in-home quality care solutions and services for seniors and disabled individuals. Services can be provided 24 hours a...
At Platinum Touch of Care, our mission is to provide unparalleled, compassionate, and personalized care that enhances the quality of life for individuals in need of support. We are dedicated to delivering a platinum...
Our core mission is to provide the best personal care to our clients. We focus exclusively on personal care, assisting our patients in facing their daily challenges and undertaking their tasks comfortably. We help people...
Est 2008, Caregiver Provider in California. We provides in-home senior care, helping older adults continue to live well and independently at home and anywhere.
Ativa Home Care - Newport Beach is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At PCS, we are dedicated to providing compassionate and professional care for you or your loved ones. Our team is extensively trained and committed to enhancing the quality of life of clients by delivering personalized...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
Senior Helpers - South Orange County - Coastal is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We pride ourselves in helping you and your loved ones stay in their homes longer by giving caring and loving attention to you at your home. Our caregivers have passed a background check, and are matched to you and your...
If you are currently caring for a loved one that is having challenges living independently, we understand how difficult it can be. With the right kind of help, it’s possible to improve their quality of life so they can...
Home Helpers Home Care of Orange Coast is more than an in-home health care agency – we’re your extended family when family can’t be there. We’re a locally owned, trusted provider of quality, compassionate in-home care in...
Home Instead - Irvine, CA is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sunset Healthcare Inc. is a company that specializes in providing a wide range of healthcare products and services, with a focus on respiratory and home medical equipment.
Our Mission Loving Arms Caregiving is to be the leading home care agency in CA, renowned for our unwavering commitment to excellence, compassion, and innovation. We envision a future where every individual receives...
Best Helping Hands provides non-medical, in-home care for Seniors and any person with temporary or permanent special needs, such as Alzheimer's, Dementia, post-operative recovery, rehabilitation assistance, etc. Services...
Care Plus Nursing Services is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARE PLUS is a locally owned & operated company providing our clients with CLINICAL EXCELLENCE and SUPERIOR SERVICE throughout Orange County and surrounding areas.
Sea Crest Home Health Services Inc is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide non-medical custodial care to seniors and people with disabilities by designing and implementing a customized plan of care tailored to individual needs. We serve Orange County and portions of surrounding...
Each member of the Amada Senior Care team in Orange County is dedicated to going beyond basic in-home care by gaining a deep understanding of our clients and their individual needs so that we can make a truly positive...
We provide in-home, non-medical care to your loved ones, from newborns to seniors. Accessible's professional team with extensive Health Care experience is committed to be there with "Compassionate Care" during your...
Level Home Health, Inc is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Laguna Hills, CA is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Saddleback Coordinated Home Care is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COMPASSIONATE IN-HOME CARE is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care of Laguna Hills/Orange Coast, CA is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Why worry? LET US HELP... because WE CARE! Responsible, Professional, Affordable, Reasonable, and Dependable. Our Caregivers/CNAs provide everything from companionship to Full Service. In-home, In-facility,...
All care is Managed and supervised by Registered Nurses at no extra cost. Healthy At Home is dedicated to ensuring that seniors and disabled individuals are able to remain in their own homes safely and with the highest...
COASTLINE HOMECARE is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Of America, Inc is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alta Home Care is dedicated to providing personalized care that enriches the lives of our clients and helps them maintain the highest level of independence. Every Personal Attendant is carefully screened, selected, and...
Abiding Home Care LLC of Laguna Hills, CA proudly provides non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and...
When you or your loved one need help at home, turn to FirstLight Home Care of Irvine. We offer complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just...
President and CEO of Interim HealthCare of Irvine, Khushbu Dadlani, has spent the past 10 years caring for and educating preschool children. Faced with the challenges of caring for her own parents-in-law, Khushbu’s...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Acti-Kare of South Orange County is a home care provider that services in Laguna Hills, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tremendous Care is a family and Hoag physician founded home care agency based in Orange County, CA. We are committed to delivering compassionate, specialized care that meets the unique needs of each individual we serve....
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
Since 2005, Living Well Home Care has been providing one-on-one care throughout Southern California (specifically Los Angeles and Orange County). We are a proud California Licensed Home Care Organization (HCO) committed...
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.