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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:
Cornerstone Caregiving is proud to serve Woodstock and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
Quality in-home care because life happens at home. We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a...
Charlotte Web Private Home Care, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sensitive Home Care Agency Inc is a provider, proudly serving families throughout Georgia with compassionate, personalized, and dependable care services. We are dedicated to helping seniors and individuals maintain their...
GRISWOLD SPECIAL CARE The World’s Oldest Multinational Non-medical Homecare Company Trusted Homecare at Affordable Rates GRISWOLD SPECIAL CARE refers Caregivers who provide companionship, homemaking, and personal...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
Quality, trust and compassion are the foundations of 4 Seasons Home Care. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
FirstLight Home Care of Mableton’s in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Mableton, Marietta, Powder Springs, Kennesaw and the...
Amada caregivers are compassionate individuals trained to provide personal assistance to seniors and other individuals in need. They offer physical and emotional support, ensuring the well-being and comfort of their...
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
At Cody Comfort Care, our journey began with a simple yet powerful mission—to provide compassionate, high-quality home care that empowers individuals to live safely and comfortably in their own homes. Founded with a deep...
Amada Senior Care of Marietta provides thoughtful in home care that helps seniors remain comfortable and independent where they feel most at ease. Caregivers offer support with daily activities companionship memory care...
“One Call” Service: We coordinate all aspects of care from the caregiver to medical equipment. We also work closely with other senior services to relieve you of the burden of coordinating multiple services. It’s a...
Angel Home Health Care is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All-Care Homecare Agency, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Asap Healthcare Network is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Are Raising the Bar for Quality Care Full Heart Home Care delivers exceptional companion and personal care services for discerning clients and their families.
Personal Care Assistance for activities of daily living (ADLs) so that you can feel more independent at home.Companion Care Individuals without a strong support system can create an everlasting bond with our...
dupeSeniors Helping Seniors - North Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are an independent agency providing exceptional non-medical companion care and assistance with a variety of daily activities. We are fully licensed and insured. We provide high quality care for seniors as well as...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
duplicate BLOSSOM HOME CARE, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
DUPE _ BrightStar Care of Sandy Springs, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cowens Healthcare Services LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Encore Medical In Home Nursing Care is devoted to enhancing the quality of life by delivering compassionate services to all of our clients and consumers by providing skilled and non-medical care at home from our highly...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
At Bright Rose Home Care, we serve clients in many counties in Atlanta, Georgia and surrounding areas. We are a non-discrimination organization that seeks to assist your loved ones at home, and is committed to delivering...
Davest Care LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Freeman Home Care Agency LLC, we cater to all individuals requiring frequent light duty and companionship assistance. At-home care may be a great option for geriatric, cancer, maternal, and post-operative patients who...
Certified Home Care of Georgia is locally owned and headquartered in Lawrenceville Georgia. We are licensed by the Department of Community Health and accredited by the Better Business Bureau. We have been providing care...
At BrightStar Care of Marietta, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support for our local...
*Duplicate* Home Care of Cobb County is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our home care services and compassionate caregivers help older adults live independently in their own home and continue to do all the things they love. We do not just assign caregivers to a job. We match our caregivers...
Beetee Homecare Services LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Firstline Homecare & Medical Services is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AUC CARE is a trusted in home care agency dedicated to providing high-quality, compassionate, and personalized care for individuals in need of assistance with daily living.
ATC Healthcare has over 30 years of experience, and we are here in the greater Atlanta area to help you find the right healthcare staff. We provide a professional recruitment staff with years of experience in the...
Comfort Homecare Solutions LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Butterfly Home Care - North Metro Atlanta is a provider, proudly serving families throughout Georgia with compassionate, personalized, and dependable care services. We are dedicated to helping seniors and individuals...
Abba Health Services - Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Docs Healthcare of North Georgia is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
B&M Caring Hands LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell is more than just a home care business; we are a community of passionate care management professionals and dedicated caregivers who believe in the power of care at home. Our team is comprised of kindhearted,...
At Senior Helpers Marietta, we provide compassionate, personalized in-home care to help seniors live safely and comfortably where they belong—at home. Locally owned and deeply rooted in the Marietta and Kennesaw...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Atlanta or in surrounding areas.
Bridgewell Homecare Services LLC provides a range of home care services to assist individuals with daily living activities. The company's offerings include homemaker services such as laundry, meal preparation, and...
Acti-Kare of Marietta, GA is a home care provider that services Woodstock, GA 30189. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care 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.