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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:
Capital City Nurses - Columbia is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pillars Nursing Services was founded with a passion for providing high-quality home health care services to seniors and individuals with disabilities. Our founder, who has over 4 years of experience in the healthcare...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
Best Care Home Care is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At TeeKay Healthcare, our philosophy is centered around personalized care that addresses the unique needs of each patient. We believe in taking a holistic approach to healthcare that considers the physical, emotional, and...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
Pretty Angels nursing is a Residential Service Agency (RSA) license by the state of Maryland Department of Health and mental hygiene. Pretty Angels is a home health care company focused on delivering personalized home...
VIE Home Care is a Maryland-based home care service provider known for offering personalized care solutions to individuals in need. They specialize in delivering compassionate and professional assistance to clients in the...
Dynamic Nursing Care Services is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Peace and Love Health Care Services, we understand just how important our role is as a provider. Whether we are looking after an infirm elder, we go to great lengths to provide only the highest quality care in the...
Our Goal Is to Secure Self-Determination and Rights, Promote Opportunities for Community Participation, And Keep Older Adults and Individuals with Intellectual and Developmental Disabilities Safe, Healthy, And Appreciated.
2 Sisters Helping Hands is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Dove Home Care Nursing Services LLC, we understand you want top quality home care services for your loved one. You’re searching for a qualified, professional care provider who will treat your family member with respect...
Loving Touch Personal Care is located in a quiet serene area of baltimore county a community where a resident can feel right at home, loving touch personal care provide a safe environment in a family-like atmosphere to...
Ephratah Healthcare Services LLC is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Peace & Love healthcare Services LLC is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Beloved Home Health Care LLC, MD is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Day By Day Healthcare, Llc is a home care provider that services in Gwynn Oak, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission at Atob Staffing Solutions is to deliver high-quality, personalized home care services with integrity, respect, and compassion. We aim to support our clients in maintaining their independence and dignity while...
Welcome to Amazing Care Health Services LLC, your community behavioral health, skilled nursing, DDA, and home health services provider. Our organization offers comprehensive health care services in Gwynn Oak, Maryland,...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
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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.