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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.
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I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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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:
House of Love and Care Home Care Agency is dedicated to providing compassionate, high-quality in-home care that helps seniors and individuals maintain comfort, independence, and dignity in the place they call home. Our...
At Gallery Home Care, we are dedicated to providing compassionate and personalized care. Our mission is to create a safe and supportive environment where you or your loved one thrives by ensuring that every interaction is...
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...
Rooted in a profound respect for veterans and a deep understanding of the aging population’s needs, Happy to Help Caregiving was founded by Taylor Rees. Taylor’s personal experiences with the challenges faced by elderly...
At Amazing Home Health Solutions, we believe every client deserves care that truly makes a difference. Our caring team provides individualized assistance—from daily living routines to meaningful companionship and...
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...
We offer our clients personalized non-medical support services in their homes, assisting the elderly, disabled and others needing assistance to maintain quality of life. Our services support the individual’s choices and...
Our compassionate team of caregivers, nurses, and support staff are committed to providing the highest level of care. Each member of our staff is carefully selected for their skills, experience, and dedication to...
Executive Home Care of Omaha is dedicated to delivering compassionate one-on-one personal care services that allow seniors to remain safely and independently in the comfort of their own home or at a facility. We can...
When you're in need of care for your injured, ill, or senior loved one, reach out to CareMinders Home Care. Our agency is comprised of certified caregivers who have many years of experience. You'll receive versatile,...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Allied Home Health Services LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dynamic Homecare Services is a trusted and compassionate home care agency dedicated to enhancing the quality of life for individuals who require assistance to maintain their independence at home.
A Book Of Life Homecare, LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Alegent Health At Home is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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 Omaha, NE area, please contact us. We’re...
We pride ourselves on our adaptability and commitment to excellence in every aspect of our home care services. Explore what we have to offer and how we can contribute to the well-being of your loved ones. Blessed Home...
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.
Blue Oasis Home Care is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABOUT US At Caring Expertise Homecare, we are fully committed to providing exceptional non-medical homecare services that significantly enhance the quality of life for our esteemed clients. We were founded in 2024 by a...
Care for You is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aseracare Home Health is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Custom Care Nursing provides in-home care services throughout the metro area. We provide compassionate short-term and long-term care. Our certified nursing assistants provide assistance with bathing, grooming,...
Amazing Angels Home Health & Hospice LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apostle Nursing Home Health Care LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place at Home is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-Home Companionship and Care Services Services Conversation and Companionship Services Meal Preparation and Grocery Shopping Services Laundry and Light Housekeeping Services Transportation Services Medication...
Care Consultants for the Aging is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amada Senior Care is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PROVIDING care for an aging parent, relative, or friend is no easy task. It requires commitment to long-term quality life care. Every aspect of your loved one's life must be considered and addressed. Trying to manage...
Aby All About You is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission At ABRIA Home Health, Our mission is to provide support and excellent care to seniors who face various challenges of aging, and to children who wish to improve their overall quality of life. Through...
D & D Able Hands LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exquisite Supportive Homecare is a dedicated health care provider committed to offering affordable and comprehensive care solutions. Our mission is to ensure that high-quality health care services are accessible to all,...
Gentiva Health Services is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bloom Companion Care is a compassionate and reliable home care agency dedicated to enhancing the quality of life for seniors and individuals in need of personalized support.
When it comes to finding home care services, we understand how frustrating it can be when care plans lack the flexibility that you seek. At Access Professional Home Care Services, we believe in tailoring care to your...
Express Home Health care LLC, Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Senior Service of Omaha, NE is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Home Health, LLC is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for your family like our very own since 1999 As our loved ones age, they often need help with many of the simple things in life — like dressing, grocery shopping, meal preparation, doing the laundry, and even...
Carebuilders At Home's Personal Assistant Services provide task specific services, with no minimum hours requirement, providing a cost effective alternative to traditional hourly home care and allowing our clients the...
Good 2B Home is a community based Private Duty Home Care Assistance locally owned in Omaha, Nebraska. We provide personal care, companion care, housekeeping, bathing assistance, medication reminders, meal assistance,...
Covenant Angels Of Nebraska is a home care provider that services in Omaha, NE. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
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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.