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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:
At HomeWell of Cypress we provide hourly 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 Care Managers and...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Tomball or in surrounding areas.
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
Home Helpers® Home Care is a home healthcare service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and...
With At Your Side Home Care, you can feel confident in the care you or your loved one is receiving. You can feel comfortable knowing a dedicated caregiver is there to help. Our responsive management team is waiting to...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
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...
Home Helpers provides professional in home supportive services that help seniors and adults remain safe and independent at home. Through their Cared-4℠ program, a Caregiver can assist with personal care and nutritional...
Your care needs deserve the best. Brookdale at Home is an in-home services agency with decades of experience providing care at home that’s designed to help you retain your independence longer.
Is your loved one’s safety or loneliness keeping you up at night? At Assisting Hands, we believe that "home" is more than just a place; it is where your loved one feels most like themselves. Our mission is to protect that...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
Our senior care services in Houston, TX help aging adults stay engaged in everyday life with tailor-made support to stay safe and well at home. It’s our mission to provide a care plan personalized to your family’s needs...
Griswold Home Care was founded by the late Jean Griswold in 1982, making us the oldest non-medical home care franchise organization in the country. While we operate in a growing industry with many respected competitors,...
With CareCo’s assistance, your loved one can receive the high-quality senior care they deserve right in the comfort of their own home. This enables you to spend more time with them while they age comfortably, supported by...
At allaround Care, our mission is simple yet profound: to provide dependable support and caring service in a family atmosphere. We believe that every individual deserves to age with dignity and independence within the...
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
Gentle Horizon Care LLC provides compassionate, dependable in-home support that helps clients live safely, comfortably, and with dignity. Caregivers deliver personalized daily assistance and warm companionship giving...
At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated to the long-term effects of a masterfully-crafted care...
Home Care Team of Texas LLC provides compassionate, personalized non-medical care to seniors and individuals who need support with daily living. Our experienced caregivers are dedicated to promoting independence, safety,...
At Home Matters, we’ve made it our mission to provide high quality care for seniors that allow our clients to remain safe, comfortable, and independent at home. Our approach is unique, based on years of research in the...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Elle Bee Care provides services and support that allow our clients to remain as independent as possible in their homes or residences while enabling a quality of life for our clients and their families which cannot be...
Why Choose Us? Homecare Angel's is a locally owned homecare solutions agency in The Woodlands, TX. We have a unique model of care allowing a consistent delivery of service. We have over 40 years of combined home care...
HIS SHADOW SERVICES LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team has served loving families in The Woodlands Area, and we look forward to working with you and your family. With over 100 years of combined nursing, care management, and caregiving experience, our team is eager to...
The quality home care services provided by Always Best Care set us apart from other companies. Contact our care coordinators to discuss your individual needs and design a personalized care plan specific to your level of...
We support seniors and their families by providing opportunities for meaningful engagement. Our caregivers building authentic, caring relationships and implement custom care plans that evolve with a senior’s needs.
Whether your loved one’s health concerns are due to illness, injury, or aging, our personalized senior in-home care packages will support your loved one through flexible scheduling and customized support services,...
Created to Care Home Healthcare Agency, LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The main goal of providing in-home care is to provide a better quality of life to our patients and the confidence to their families that their loved one is well looked after. Whether the elderly, an adult or child...
Seeking exceptional in-home care to allow your parents to remain in the comfort of home? You've come to the right place! Thanks to the thousands of bonded, screened and trained Home Care Assistance caregivers throughout...
Ameripro Healthcare Group LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Prestige Homecare, nothing matters more than your health and well-being. Our team of health professionals has made themselves readily available to take on any health-related matter you might need. At Prestige Homecare,...
Home Helpers In-Home Care Services is more than an in-home health care agency: we’re your extended family when family can’t be there. We’re a locally owned, trusted provider of quality, compassionate in-home care, and we...
Silver-Spring Healthcare Services is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Avatar Home Health Care Agency LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cole Home Healthcare of Houston Inc is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ABOVE ALL HOME CARE LLC is a home care provider that services in Spring, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Embracing Hearts In-Home Care, we believe true care begins with compassion. Our devoted caregivers deliver personalized support—from daily routines to heartfelt companionship and specialized assistance—helping clients...
Laurie and Ray Griggs opened the Senior Helpers Bryan, College Station office in 2018 because of their commitment to delivering the best possible in-home care to seniors in the surrounding communities. They have a passion...
Homewatch CareGivers of The Woodlands is one of the most awarded home care agencies in North and Northwest Houston, celebrating our 14th year. We have two nurses on staff to handle every possible care need, and we also...
Angels Instead is a company that offers non-medical home care services. We provide a variety of services to help our clients live their best lives. We are here to help with everyday tasks, errands, and anything else that...
Guided by a native Texan, Always Best Care ensures that exceptional service and care is provided to all family members. Caregivers are thoroughly screened, licensed, bonded and insured to provide the safest and highest...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals of all ages. Whether you need daily care, night care or weekly assistance due to aging, illness,...
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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.