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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.*
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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 Homewatch CareGivers of Stow-Twinsburg, we believe that care is about more than helping with daily tasks—it’s about creating meaningful connections, supporting independence, and improving quality of life. Our franchise...
If you or someone you love needs in-home care or assistance, give us a call at FirstLight Home Care. We provide quality, dependable in-home and elder care services for adults on Cleveland’s west side.
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Kymco Reliable Home Care is dedicated to delivering dependable, compassionate, and personalized in-home support that helps individuals maintain comfort, independence, and dignity where it matters most—at home. With a...
Hummingbird Home Care is a family-owned, independent provider of in-home care in Cleveland, Ohio, dedicated to treating every client with dignity, respect, and compassion. Their personalized approach focuses on helping...
Senior Helpers of Greater Cleveland has been caring for seniors throughout Cleveland's West suburbs for over 10 years. We offer tailored services to meet the individual needs of your loved one. Our care services range...
Our in-home senior care starts with a clear understanding of who you are and what we can do to make your life a little easier and a little brighter. Whatever services you need and whenever you need them – for yourself...
Your Well-Being Is Our Ultimate Goal Your comfort, safety, and happiness are at the heart of everything we do. We treat you like family and will design a program that you are happy with!
Eldorado Healthcare Management, LLC is a privately owned healthcare services provider based in Cleveland, Ohio. Established in 2017, the company specializes in delivering non-medical in-home support services, including...
Chase Medical Services delivers reliable, compassionate in-home care and caregiver staffing to support clients’ safety, comfort, and independence. Their team provides respectful daily assistance tailored to each...
7TH & HENDRIX HOME CARE LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Provide : Personal Care Services: Assistance with bathing, grooming, and dressing Help with toileting and incontinence care Mobility assistance (e.g., transferring, walking) Assistance with feeding and meal...
Assisting Hands Home Care® grew out of a desire to provide seniors, and others needing non-medical assistance at home, with the option that most people prefer – to remain independent, safe and comfortable in their own...
ASPEN HEALTHCARE is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Centric Care Services LLC is a Non-Medical Private Duty Home Care Agency; with the mission of being the most client centric home care service available to clients. Centric Care Services LLC is an independent...
Arcadia Home Care & Staffing is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AT YOUR SERVICE HOME HEALTH LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Key Features: Personalized Care Plans: Services are customized to meet the specific needs of each client, ensuring they receive the appropriate level of support. Qualified Caregivers: Staff are trained to provide...
Alpine Home Health Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Classic Medical Staffing is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cardinal Home Health, LLC of Cleveland, OH offers compassionate, non-medical in-home care for seniors and adults who need support to live safely and independently at home.
Always Loving Home Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring With Care Home Care LLC of Cleveland, OH is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Caring Alternative Inc is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We at A.L.I.C.E offer Personal Care: Assistance with activities such as bathing, dressing, grooming, and toileting. Companion Care: Providing companionship and emotional support, helping with social activities, and...
Amazing Grace Home Care L.L.C. provides compassionate and personalized in-home care services for seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and...
BETTER DAYS HOME CARE AGENCY is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightway Home Health, LLC is a trusted home care agency dedicated to providing compassionate, personalized care to individuals in the comfort of their own homes. We specialize in supporting seniors, individuals with...
Care for You Homecare Services is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chs of Greater Cleveland, LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A HAND IN NEED is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A WARM EMBRACE HOME HEALTH AGENCY LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregivers You Can Trust Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness,...
AKRON HOME CARE LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Work Of Heart Home Care Svc is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Continued Wellness Home Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of NW Akron, OH is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A GOLDEN TOUCH HEALTH CARE AGENCY, LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A 1 Nursing Care of Cleveland is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare of Cleveland Heights, OH provides tier one in-home Personal care. Our trained, insured, and bonded caregivers will provide your loved one with in-home personal care services across a broad range of categories....
Angels At Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Big Heart Home Health Care LLC is focused on providing high-quality service and customer satisfaction - we will do everything we can to meet your expectations. We provide service in Cleveland, Youngstown, Ashtabula,...
OCal Home Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Medicaid/Medicare certified Home Health Agency located in Cleveland and serving the needs of patients in the Greater Cleveland area and surrounding counties. All our employees undergo a background investigation process...
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,...
At Senior Helpers, we are here to help anyway we can, no matter how big or how small the request. Our owners are the husband and wife team of Michael and Lynn Jones. Our team knows these aren't just clients, but cherished...
At BrightStar Care Cuyahoga West, we believe that caring is more than just a job– it’s a way of life. That’s why our caregivers mean so much more to the people, families, and organizations they serve.
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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.