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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:
FirstLight Home Care strives to be the industry leader of The Woodlands, Northwest Houston and Katy in home care, respite care, and senior care. We work hard to ensure we have the most skilled and trustworthy caregivers....
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.
Personalized home care solutions. Our flexible in-home care services can be tailored to meet the needs of any situation. From short-term adult care services to full-time live-in care, we can handle it all. Whether your...
Angels Over Us is owned and operated by Lani Cabral, an experienced Senior Care Nurse Specialist. Lani used her experience and expertise to build a seasoned team of home care professionals to deliver a broad range of...
Homewatch CareGivers of The Woodlands, TX is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Texas Charm Senior Care LLC is a in home care personal assistant service that provides care for seniors in our community that needs help with activities of daily living. Our caregivers provide elite care. We offer...
Home Instead - Conroe, TX - Duplicate is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Healthsouth Home Health Agency of North Houston is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Place At Home owners Adam and Trista Johnson decided to open an in-home care agency after personally experiencing the time, energy, and patience it takes to navigate the challenges of coordinating care for aging adults...
Quality Care Services - Conroe, TX is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComfortHome Home Health Agency is committed to excellence and our unique services uphold the highest standards in our community. Our entire team is ready to go to work assisting families who need a helping hand. Use our...
Precious Moments Home Care is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When we started the AllHeal group, we chose the path of offering each client services of the rehabilitation type (skilled nursing), as well as of the companionship and personal care type (CNA services). That required...
Our Woodlands caregivers are here to help enrich your loved one’s life by not only being able to offer assistance with daily tasks like personal hygiene and meal prep but also any companion care needed to keep your loved...
Touched By His Grace Senior Services offers quality, loving, in-home care services for families just like yours. Our custom care plans provide just the right mix of services that preserve your loved ones' independence,...
DEDICATED HEARTS CAREGIVERS is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For many older people, home is everything. It is a window to the past, a haven for the present. Since 2021, Heavenly Touch Healthcare Services, LLC have been helping seniors stay in their homes, happily and safely....
Amada Senior Care is a locally owned and operated in-home care company providing personal care and assistance wherever a senior resides. Our caregivers understand that it's essential to show compassion and truly connect...
Assisting Grace Home Health LLC is a home care provider that services in Conroe, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeWell is not your average home care agency. With innovative Signature Programs, highly personalized and specialized services and a culture that prioritizes your peace of mind—you can count on us to provide exceptional...
A Plus Comforts of Home is the in-home care service provider for Conroe, Texas, and surrounding areas. We are committed to exceptional and personalized senior care service. We focus on the personal and social...
Life is Better with Villi of Houston, TX At Villi, we believe “It takes a village,” and we’re here to be that village for you and your loved ones. Our mission is to bring comfort, joy, and a helping hand to your daily...
Synergy HomeCare is the name you can trust in Conroe, Conroe, Montgomery, Willis, Oak Ridge, Shenandoah, Spring, Huntsville, Cleveland, Magnolia, Stagecoach, Kingwood, Humble, Atascocita for personal home care. We...
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...
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.