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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:
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.
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.
Home Helpers Home Care of Springfield, VA is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregiver provides home care services Nathaja HomeCare Mission Statement The mission of our Agency is to foster independence and maintain dignity for our clients. We work with our clients and their families to develop a...
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At Halo Helpers, we understand that the comfort of home is the best place for your loved ones to receive care. Our specialized services cater to a wide range of needs, from daily and weekly assistance to those recovering...
Hearts at Home Care LLC is a leading provider of home care services, specializing in delivering compassionate, personalized care to individuals in the comfort of their own homes.
With the desire to offer loved ones non-medical assistance at home with an option to remain safe, independent, and comfortable in their own homes, Graceful Hearts Home Care Service, LLC was formed. Our trained and...
Comfort Home Care Services has been a proud member of the local Stafford, Virginia community since 2010. We provide the most exceptional level of care to your loved ones by treating them as our own. We strive to enhance...
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.
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.
Care isn’t just what we do, it’s who we are! Our compassionate caregivers and the families we serve are our number one priority. We go above and beyond to ensure every client’s needs are met. We are dedicated to...
Burlee Oaks is a home health care agency located in Fairfax, Virginia. We are a quality-centered agency, dedicated to providing comprehensive in-home care services in the comfort and privacy of the patient's home. As a...
Absolute Home Healthcare focuses on delivering compassionate, client-centered care tailored to meet each individual's unique needs. Services include assistance with daily living activities, medication management, and...
Each Family's Situation Is Unique You may be looking for continuous home care services, a non-permanent helping hand for a few hours a day, or just a professional assessment of your loved one’s care needs. Whatever...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Established to meet the growing needs of families in 1998, Medical Professionals On-Call is a home care service provider servicing Fairfax, Virginia and its’ surrounding areas. As experience home care providers, we offer...
"Check out the information below to learn more about Brightside Home Care Service LLC:" We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or...
Providing quality in-home care at affordable rates since 1989. Assistance in personal care including help in bathing, showering, dressing, grooming, meal preparation, medication reminders, companionship, transportation to...
Bella Desai opened Senior Helpers of Arlington/Alexandria office in 2018, and has been building an exceptional team of care professionals ever since. After caring for her grandmother and seeing the various types of...
Adonai Home Care Services is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tamela Fletcher opened the Senior Helpers Fairfax office to provide high-quality personalized senior care in the Fairfax and surrounding communities. Tamela recognizes the positive impact that Senior Helpers has on the...
If you are looking for elderly companion care or senior home care services in Alexandria, VA, turn to the caring team at Philia. Our home care nurses are dedicated to going beyond the basics and providing exceptional care...
YOUR PARTNER IN PROFESSIONAL IN-HOME SUPPORTIVE SERVICES At Home Helpers® Home Care in Concord, CA, we are dedicated to providing professional in-home supportive services that help seniors and adults remain safe and...
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Grand Rising Home Care is a home care provider that services in Springfiled, VA and surrounding counties. Home care services allow seniors to remain safely in their own homes while receiving assistance with personal care...
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A Peaceful Homecare, LLC - VA is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Human Touch Home Health Care is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
TheKey Corporate - Northern Virginia is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trusted Home Helpers is committed to delivering quality care and compassionate support when you want them, where you want them – in the comfort of your own home or community. We are focused on offering services that our...
Home Care Providers, Llc is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adkar Home Healthcare, LLC is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Revival Homecare Agency is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Esprit Homecare is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Home Health Options Group Inc. (HHO) was formed to provide an aging population and others with diminished physical capabilities with an option to stay at home and receive non-medical assistance. We will provide...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity.
Ready 2 Serve Home Healthcare LLC is a locally-operated home health care agency servicing Alexandria, Virginia, and the surrounding counties. We specialize in rendering medical and non-medical care to our patients who are...
Options for Senior America Prince William County is a home care provider that services in Falls Church, VA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Home Care Services in Northern Virginia American Care partners@ Home provides home care services and assistance brought into the home to achieve and sustain an optimum state of health, activity and independence for...
At Hope and Recovery Care, we are ready and eager to serve your loved ones with a team of professionals who have expertise in patient care and health recovery. We specialize in nursing care, personal care, and recovery...
Gayflor CareConnect was established in 2024 with a mission to provide exceptional in-home healthcare services. As a nurse-owned company, we have a profound understanding of the importance of providing compassionate and...
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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.