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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:
Kairos Concierge LLC delivers elevated in-home care backed by true clinical experience. Founded and led by an owner with 13 years as a Licensed Practical Nurse (LPN), the agency bridges the gap between non-medical support...
SYNERGY HomeCare of Northville - Livonia, MI is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
PROVIDING PROFESSIONAL AND COMPASSIONATE CARE FOR SENIORS AND ADULTS Home Helpers in Troy, MI offers a comprehensive approach to home care services with our Cared-4 program. Our dedicated Caregivers are trained to assist...
Cornerstone Caregiving is proud to serve Dearborn and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
CarePRN’s mission is to provide passionate and reliable care to seniors with caregivers who love what they do. We pride ourselves on delivering high-quality care that promotes independence and well-being, and we believe...
We’re here to help you continue living independently. If you or a loved one is having trouble with activities of daily living, home safety or personal care, we can provide a specialized program to make life easier and...
We are Brian and Breanne Stuart, parents to two boys and owners of Homewatch CareGivers of Ann Arbor, serving Washtenaw and Livingston counties. We have a deep passion for caring and serving others and feel blessed that...
WHY CHOOSE US? At Carters Passionate Care, we provide a wide range of home health care services to patients all throughout the Michigan area. Our staff goes above and beyond to make sure you get the best quality care...
Synergy HomeCare is a non-medical home care agency, which services clients of all ages. Our priority is to assist with activities of daily living while maintaining independence and dignity. We have a passion for "Aging In...
With over 40 years of experience, Kim Cares provides compassionate, personalized in-home and residential care. Services include transportation, companionship, and specialized memory care. Our trusted team is dedicated to...
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...
Senior Care with a Full Satisfaction Guarantee - At HomeWell of Oakland County, we are proud to deliver in-home and hourly care services for seniors who wish to remain in the comfort of their own homes—whether they live...
Amaana Care is a trusted in-home care agency in Michigan, dedicated to providing compassionate and reliable non-medical support for seniors and individuals who wish to remain safe and independent at home.
We specialize in daily living assistance at an affordable rate. Our goal is to help seniors and their loved ones live happy and fulfilling lives. Improving Seniors Quality Of Life While Being Passionate, Patient, And...
N - Home Touch Home Care Services LLC is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The FirstLight HomeCare difference starts with our Culture of Care. Our culture of care philosophy is the cornerstone of Firstlight Homecare. It comprises the beliefs and values which guide us every day as we serve...
Right at Home Detroit Metro is Proud to Provide In-home Care for Clinton Township Trusted Home Care Home Care services provided by Right at Home Detroit Metro are a way to meet the needs of seniors and other adults...
Hero Homecare - Bloomfield Hills, MI is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Zealous Home Care L.L.C of Bloomfield Hills, MI is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Trustiva Health is a privately owned home care company specializing in patient care and advocacy across Oakland, Macomb, and Wayne counties. With over 60 years of combined experience, our compassionate caregivers provide...
Alliance Senior Care gives assistance to seniors who wish to remain at home and live independently. Our personalized and affordable services are available 7 days a week and can range from a few hours per day to 24 hour...
Healing Hands Home Care LLC is a dedicated home care agency committed to providing compassionate, high-quality care for individuals who need assistance in the comfort of their own homes.
At BrightStar® Care of Birmingham, we strive to deliver just the right care for your loved one to be safe and healthy and to be a partner you can turn to for support. BrightStar Care delivers just the right level of care...
Prime Homecare Agency, L L C is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mercy Amicare Home Healthcare is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare Senior Services is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care services provided by Right at Home Detroit Metro are a way to meet the needs of seniors and other adults whose capacity for self-care is limited because of a chronic illness; injury; physical, cognitive, or...
Royal Quality Care, LLC is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maxwell Home Health Care, Inc is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Covenant Home Care, LLC is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Founded and owned by nurses, expertise in patient care has been the hallmark of CareDriven from day one. Our knowledge and skill in providing care for catastrophically injured patients makes CareDriven the choice for home...
Sigma Health Care is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
There’s No Place Like Home! You Choose Your Caregiver. You Are In Charge. - Up to 24 hour care - Assistance in Hygiene - Meal Preparation - Light Housekeeping - Errands and Shopping - Joyful Companionship - Low...
In-Home Care Overview – Senior Helpers of Farmington Hills, MI At Senior Helpers of Farmington Hills, we believe that every senior deserves care that truly focuses on what matters most to them. We are proud to be one of...
Carter’s Caring Services is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Barbara Roden opened the Senior Helpers Southeast Michigan office in 2007 because of her passion for helping others and her interest in the growing need for in-home care services. Barbara and her team are committed to...
Comfort Care Home Care Assistance - Grosse Pointe is a home care provider that services in Bloomfield Hills, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or...
The realization that Mom or Dad isn’t an all-knowing superhero is one everyone discovers as they age out of childhood. That doesn’t make it any easier when the tables turn and the ones who cared for you now need care...
Care at Home, Private care LLC provides Non-Medical Private duty with respite care and outstanding Companionship. We are dedicated to provide the best in-home private health care and make your love ones have a healthy...
Heartwell Homecare LLC is more than just a home care agency; we’re a family. Our mission is to bring comfort, compassion, and dignity to those who need it most.
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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.