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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
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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:
Senior Helpers of The Villages is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with Alzheimer’s, Dementia, Parkinson’s and other chronic diseases. Our primary goal is to help provide a high quality of life for our clients and their families by delivering customized, dependable and affordable care. Our team of highly-qualified caregivers and staff all l
Senior Home Companions is a leading resource for tailored in-home care senior care in the Villages including Marion, Sumter and Lake Counties. Our expert contracted senior care providers assist with a wide range of needs, personalized for each client – from daily tasks of living and homemaking to supporting assisted living and rehabilitation staff. Senior Home Companion’s main goal is to help seniors live happy, independent lives in the comfort of their own residence.
Heart Ablaze Care is a premier non-medical in-home care agency based in Florida, dedicated to providing compassionate and personalized care for individuals who need assistance with daily living activities. Our mission is to enhance the quality of life for our clients while ensuring their comfort and dignity in the familiar surroundings of their own homes.
Kelli Staab and Cesar Pumariega, owners of Amada Senior Care The Villages, know from personal experience the significant difference quality care can make in the lives of seniors and their families. “Central Florida has always been a fantastic place for seniors to live, and it’s our privilege to help them live their best life.” Cesar says, “I am a third-generation pharmacist with over 35 years of experience helping patients, especially seniors, achieve the best results from their medication therapy. I am also a consultant pharmacist certified in medication therapy management. Through some life experiences involving a couple of close family members, I have seen the positive impact that good in–home senior care had on the lives of my loved ones.” “I also have the honor and privilege of serving on the board of directors for a nonprofit organization that gave over 500,000 meals to needy kids and seniors in the Lake County area,” adds Cesar, whom with his wife of 37 years, are proud grandparents to four of “the most beautiful grandkids ever.” Kelli recalls a happy childhood growing up with her grandparents “giving me the foundation of my love for healthcare.” She adds, “I have 10 years of cardiovascular patient care and several years of home health care experience. Whether it was providing care for my grandparents or the patients in my career, caregiving has been the most influential and humbling experience.” “I look forward to providing our senior community with compassionate customized care,” says Kelli, adding that she and her husband of 14 years “are blessed with three beautiful children.”
At Brewer Health Services LLC, we understand that every person is unique, and we tailor our services to meet the specific needs and preferences of each client. Our team of dedicated caregivers is committed to providing respectful and compassionate care that goes beyond just physical assistance—we also offer companionship, emotional support, and a listening ear.
At BrightStar Care of FL – Lake County, owned by Mark and Sarah Mooney, our home care agency provides quality home care, caregivers, and medical staffing solutions to families and businesses in the Lake County area. We offer compassionate care, peace of mind and exceptional service — any time, any place. BrightStar Care of FL – Lake County is committed to delivering the highest quality care. We have voluntarily attained accreditation for our home care agency by the Joint Commission which is a nationally recognized quality standards organization with rigorous standards.
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 professionals provide care and support to help with activities of daily living such as grooming, bathing, meal preparation, light housekeeping, and laundry along with many other services. Our care professionals continually meet training and educational requirements, are insured, have been background checked and drug screened to ensure we provide the highest quality professionals for your care. We take the responsibility of taking care of you or your family very seriously. The Interim HealthCare HomeLife Enrichment Program is an exciting way of helping seniors that goes beyond just sitting with the senior and providing traditional non-medical supportive services. Interim offers a philosophy and an experience that engages seniors and contributes to not only a safe and independent lifestyle, but also one that is enriched with meaning and self-worth. When it matters most, count on us.
Hearts Together Care Giver Services is a dedicated provider of high-quality in-home care services, focusing on enhancing the well-being and quality of life for seniors and individuals with special needs.
At Home Helpers Home Care of West Lake County, FL, we aim to tailor in-home care services so that they help improve the quality of life for every family member. Home care support should always be based on an individual’s physiological, psychological, and emotional needs. We never take conventional care solutions and assume they’ll work for everyone. Our certified and licensed Caregivers understand that partnering with your family won’t just impact your ailing or aging loved one but will affect the entire family. We discuss your loved one’s needs and take opportunities to recommend the appropriate services that benefit everyone. Our West Lake County Caregivers are here for you whether your family requires companion care, respite care, or homemaker services.
Welcome to Irie Care LLC, your premier provider of compassionate and personalized home care services. At Irie Care, we are committed to enhancing the quality of life for our clients by delivering exceptional care that embraces their unique needs and promotes their independence.
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 of life for both seniors and their families in every caregiving experience. If your family recognizes the value of aging in place as we do, you’ve come to the right place. Home Instead® Care Professionals provide compassionate and reliable home care services to help keep senio
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.
Kelli Staab and Cesar Pumariega, owners of Amada Senior Care The Villages, know from personal experience the significant difference quality care can make in the lives of seniors and their families. “Central Florida has always been a fantastic place for seniors to live, and it’s our privilege to help them live their best life.” Cesar says, “I am a third-generation pharmacist with over 35 years of experience helping patients, especially seniors, achieve the best results from their medication therapy. I am also a consultant pharmacist certified in medication therapy management. Through some life experiences involving a couple of close family members, I have seen the positive impact that good in–home senior care had on the lives of my loved ones.” “I also have the honor and privilege of serving on the board of directors for a nonprofit organization that gave over 500,000 meals to needy kids and seniors in the Lake County area,” adds Cesar, whom with his wife of 37 years, are proud grandparents to four of “the most beautiful grandkids ever.” Kelli recalls a happy childhood growing up with her grandparents “giving me the foundation of my love for healthcare.” She adds, “I have 10 years of cardiovascular patient care and several years of home health care experience. Whether it was providing care for my grandparents or the patients in my career, caregiving has been the most influential and humbling experience.” “I look forward to providing our senior community with compassionate customized care,” says Kelli, adding that she and her husband of 14 years “are blessed with three beautiful children.”
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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.