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.
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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:
Our Focus Is Helping Seniors Live Well At Home. At CarePro Northwest, we believe in creating special moments for our clients each and every day, whether at the bedside, on the phone or in the clinic. These moments...
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Cornerstone Caregiving is proud to serve Central Seattle and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Elite Care Northwest is a physician-owned and managed home health agency based in Seattle, Washington. Founded and led by Dr. Paradis Reed, who has over 15 years of experience in Emergency Medicine, the agency offers a...
We at FirstLight Home Care exist to help people have their best day, every day. Our mission is to provide compassionate home care so that the families we serve have peace of mind knowing their loved ones are receiving the...
Restoration Health Services provides compassionate and high-quality in-home care for seniors and individuals with disabilities. Our dedicated caregivers assist with daily activities, medical support, and companionship,...
Our Story At joyfuljourneyhomecare.com, we started with a simple idea: to provide reliable and compassionate home health care services to those in need. Over the years, we have grown into a trusted provider of quality...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Homewatch CareGivers of Mountlake, WA is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In 1997 No Worries created a new model for providing Premier Comprehensive In-home Care in the Tacoma Metro area…We included caring for our Caregivers.
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Our Agency Will Flood You with Loving Care When you choose our agency, you become part of our family. We are dedicated to providing reliable, trustworthy, and heartfelt care that allows seniors and adults to remain...
At Classique Homecare and Staffing Solutions LLC, we believe that everyone deserves to feel safe, supported, and truly cared for — right in the comfort of their own home.
Essential Home Care NW is a compassionate non-medical in-home care provider serving seniors and adults in the Puget Sound region from its base in Bothell, WA. The agency specializes in helping clients live safely,...
At HomeWell Care Services, we provide live-in and hourly at-home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking or even running errands. Our knowledgeable...
Senior Helpers is the premier provider of senior care, wherever your senior resides. We provide in-home care and personalized care in the comfort of your own home and at other residential locations including assisted...
Apex Care Solutions is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We make home care easy.Founded by leaders with clinical and business backgrounds, we bridge the essential gap between quality care and effective management.
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
BrightStar Care of Bellevue / Eastside, WA is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At GAMERICA HEALTHCARE our mission is to provide the best home care to make a real difference in our clients. As such, we strive to build a close relationship with you through our excellent communication skills and...
GIVING ANGELS HOME CAREGIVERS, LLC is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Best Care Senior Services combines national strength and standards with local accessibility and personal service. Always Best Care Eastside is owned and operated by Michael and Patty Davis who have been active in...
We are committed to not only maintaining but also improving the quality of life for our clients. We utilize the principles of respect for individuality, dignity, privacy and independence when caring for them. My Home...
A COMPANY You Can Trust• Capability is locally owned and operated. We deliver exceptional private duty homecare services to senior residents throughout the greater Puget Sound area. • We understand that when you select a...
Touching Hearts at Home of Bellevue, WA is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Bellevue Healthcare - a trusted partner in compassionate and excellent caregiving. We understand that life and other responsibilities can make it difficult for you to offer the level of care you desire for your...
OUR MISSION AND VISION STATEMENT: The Agency’s mission is to provide home service worker services to client’s in their homes assisting them to achieve the highest level of potential in their day-to-day self-care...
We help your loved ones restore independence and gain a higher quality of life Giving Back at Family Best Care At Family Best Care, we provide in-home care services for your family, but that’s not all we do. We...
Careage Home Health is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sun Vista Home Care Agency is a trusted provider of personalized in-home care services, dedicated to enhancing the well-being and quality of life for seniors and individuals with disabilities.
Caring for an elderly family member is a monumental task that sometimes goes unrecognized. It requires selflessness, often leaving little room for personal time. Rest assured, Home Helpers Home Care of Kirkland, WA stands...
Andelcare is the premier non-medical home care agency in Seattle, Bellevue and surrounding areas providing companionship, homemaking and personal care services. As a locally women-owned company experienced in caring for...
Evergreen Park AFH I provides assisted living care to seniors. We are dedicated to providing the highest level of professional care to our residents while encouraging them to live as independently as possible. We promote...
Advent Caregivers LLC is a home care provider that services in Bellevue, WA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Andelcare is more than just a home care agency. We are a People Care Agency. We can help your loved one remain at home, bringing you peace of mind. Our professional caregivers help your loved one live their fullest...
FAOH Private Home Care LLC is a dedicated home care agency committed to providing high-quality, personalized care to individuals in the comfort of their own homes.
Whether you are managing an illness, injury, disability, or the effects of aging, you can trust CARE HEALTHCARE to provide you with the best care services available. Through our caregivers and home care programs, we make...
Sometimes the best move is to stay right where you are – at home. Given a choice, most of us would age in our own homes. Yet too often people go through the challenges of moving when they could get the care they need...
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Our Mission Our mission is to provide exceptional, high quality, and multidimensional care that is rooted in competent and effectively trained professionals who diligently address the needs of those we serve and family...
Griswold Home Care is a non-medical home care company. We refer Caregivers who provide in-home care services including personal care, homemaking, companionship, and other home care services. Griswold Home Care was...
SeaCare In-Home Care Services SeaCare was born out of the need to do better for our loved ones and our community. The founder of SeaCare witnessed her grandmother receiving subpar care, and she knew the only way to make...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services that are specifically structured to...
Acti-Kare Responsive In-Home Care of King County is a locally owned home care agency serving families across the greater Seattle area. Jennie and Wes Ruemping, local Acti-Kare owners, came to home care after Jennie's...
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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.