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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:
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Capital City Nurses of Chevy Chase, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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We believe that people stay healthier, longer by living with liberty and dignity at home, the place they want to be. That philosophy motivates everything we do and embodies our culture and values. Our purpose is to help...
Prospect Nursing and Home Care Services is a trusted provider of compassionate home health and professional healthcare staffing solutions in Frederick, MD. We proudly serve patients and clients of all ages — from babies...
2nd Family - Eldersburg is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Advanced Nursing + Home Support is committed to providing expert and compassionate care to every client. By engaging the highest quality health care professionals, and by providing exceptional service at every level, we...
Comfi-Kare LLC provides essential home care services in Gaithersburg, MD, supporting seniors with personal care, medication management, companionship, skilled nursing, household help, transportation, respite care, and...
At Homewatch Caregivers of Potomac, we understand that deciding to seek in-home care for a loved one is never easy. It's a choice filled with emotion, hope, and the desire to provide the best for those who have always...
Wendy and Todd Johnson opened the Senior Helpers Silver Spring office in 2007 because of their passion for helping others by delivering the best possible in-home care to seniors throughout the Silver Spring community....
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
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...
Allset Home Health is a non-medical in-home care agency based in Maryland, dedicated to providing compassionate and reliable support for individuals needing assistance with daily living activities. Their services include...
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
Our homecare staff provide personalized support for daily needs while also offering meaningful companionship. At Dusk To Dawn, we strive to make life easier and more comfortable for every patient we serve. We deliver many...
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
At Adonai Family Healthcare LLC, we’re dedicated to delivering compassionate, comprehensive, and accessible healthcare to every family. Our community-focused approach provides personalized medical services for families...
What Makes SYNERGY Different? Reliability SYNERGY HomeCare's Care Team can be relied upon to be at their assigned shift as scheduled. SYNERGY HomeCare utilizes a telephony system allowing us to know when our caregiver...
Raquel Micit, owner of Amada Senior Care Silver Spring, understands that choosing the right in-home care company for a senior loved one is a life event that most families are not prepared for. As a senior care advocate...
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At Sarah’s Peace and Love, we are committed to providing high-quality, customized and affordable home care services to our clients to assist them in the comfort and safety of their homes.
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Care Personnel Healthcare, Inc. is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exec Nursing Services is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adventist Hme Hlth Servs is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Precious Senior Home Care, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heart For Life Healthcare, offers a variety of care related services, to assist you while you recuperate from illness, injury or surgical procedure. In addition to our skilled nursing care, personal care,companion...
Assisted Care Consultants is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your home provides comfort and security like no other place on earth. Our mission is to assist and help you manage your personal and medical needs in comfort of your home.
The rising living expenses, like food, utilities, transportation, and health care services, significantly impacted us. Hence, searching for long-term and possible care at home has triggered us to learn more about home...
Atlantic Home Care, LLC is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amaray Care of Silver Spring, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Montgomery Home Care Services, has proudly provided exceptional private duty care to the elderly population of Montgomery County Maryland for almost a decade. Our friendly staff brings more than 35 years of eldercare...
Caring with compassion and dedication Welcome to Beulah Home Services, Inc. Beulah Home Services Inc. was born out of a desire to provide meaningful support to the elderly who need help with the basic Activities of...
Caring for a family member can be challenging. At Compassionate Caregivers of Maryland, we strive to deliver just the right care for your loved ones to be safe and healthy, and to be a reliable partner you can turn to for...
5 Star Business Group LLC is a home care provider that services in Silver Spring, MD. 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...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
Gloves Health Care Services LLC provides comprehensive home health care services that address our clients’ overall health and well-being. We have a multidisciplinary team of professionals dedicated to providing...
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
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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.