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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:
Elaine's True Companions provides compassionate in-home care tailored to the needs of seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and heartfelt...
At Accordia Home Care, our mission is to enhance the quality of life for you and your loved ones by providing compassionate, personalized, and comprehensive care services. We strive to support their independence, dignity,...
Our talented staff is here to assist you and your loved ones. We have experienced nurses who have the ability to work with all patients no matter their expected needs. Based in Indianapolis, IN, we service 80% of the...
Changing Lives Home Care provides compassionate, tailored in-home care for seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and companionship,...
K&R Glowing Pride Residential Services founded in the year of 2018. operated by Keyana Rice whom worked patient care for the past 17 years. Graduate with honors in Health Science. K&R was established with hope and faith...
At Orange Home Care Services, our mission is to provide compassionate, personalized care that enhances the quality of life for our clients. We are dedicated to supporting individuals and their families by offering...
CJ Homecare LLC is a trusted provider of non-medical in-home care services, dedicated to improving the quality of life for seniors and individuals with disabilities or chronic conditions. Our compassionate caregivers...
Dignity Home Care Services provides compassionate and professional in-home care solutions tailored to meet the individual needs of our clients. Our services are designed to support independence and enhance quality of life...
We Make A Difference In Senior Lives At Happy Homes Homecare, we are dedicated to providing exceptional in-home care for seniors. Our mission is to ensure that every senior receives the care, respect, and companionship...
Luxury Care At Home LLC is a premium in-home care service provider specializing in offering personalized, high-quality care for seniors and individuals requiring assistance with daily living activities.
**PNA Nurturing Care Service LLC** in Brownsburg, IN, provides non-medical home care services, offering personalized assistance with daily living activities and companionship to seniors and individuals with disabilities....
Believers Home Care LLC is a home care agency dedicated to providing high-quality, personalized care services to individuals who need assistance with daily living activities.
"At A Legacy Of Love Homecare, LLC, we are dedicated to empowering and enriching the lives of our clients by providing exceptional, personalized homecare services in Indianapolis, IN. Our mission is to enhance the quality...
Highland Community Bridge offers personalized in-home care services for seniors and individuals with disabilities. Our compassionate caregivers provide assistance with daily tasks, medical support, and companionship,...
Ablessing Home Care Services is a leading home care provider in Indianapolis, dedicated to delivering exceptional and personalized care to individuals in the comfort of their own homes. Our team of skilled professionals...
Circle City Companions LLC is a business offering specialized services related to pet care, particularly companionship and care for pets in the Indianapolis area.
Of Excellence and Love LLC is a distinguished provider of compassionate and personalized home care services, committed to enhancing the lives of individuals who require support with daily living activities while...
Absolute Caregiving LLC provides exceptional in-home care services tailored to the needs of seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and...
HomeWell is more than just a home care business; we are a community of passionate care management professionals and dedicated caregivers who believe in the power of care at home. Our team is comprised of kindhearted,...
Gratitude Home Services is likely a home care provider committed to delivering personalized, compassionate care to individuals in the comfort of their homes. Their focus is on supporting clients' independence, health, and...
Arsell Home Care LLC offers compassionate, personalized in-home care services for seniors and individuals with disabilities. Our skilled caregivers assist with daily activities, provide medical support, and offer warm...
7STAR HOME CARE LLC is a trusted provider of personalized home care services for older and younger clients. Our dedicated care agents offer a wide range of assistance, from companionship to specialized support, to help...
Welcome to Reason To Love Home Care Agency LLC, your go-to home care services provider in Indianapolis who are looking for comfort and peace of mind. We provide a range of services tailored to meet the specific needs of...
Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
Infinite Loving Hands is a Licensed provider of the State of Indiana certified to accept Medicaid Waiver services Statewide. Infinite Loving Hands is BBB-certified with an A- rating and five-star reviews on Google.
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 personalized care plan to make life easier and...
ComForcare Home Care is a non-medical home care agency located in Carmel, Indiana providing services in clients' homes and various facilities. No services are provided at the office.
Established in 2021, MAGNIFICENT HOMECARE LLC pays homage to the owner’s late sister, who courageously battled SMA and required constant in-home care. Her enduring journey profoundly inspired the core mission of our...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
Dellavenias Home Care LLC is a dedicated provider of non-medical home care services, committed to enhancing the quality of life for seniors, individuals with disabilities, and those recovering from illness or surgery. Our...
Our mission is to provide compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging; and our goal is to help our...
Here at Quality comfort we provide personal care, such as getting in and out of bed, walking, bathing, and dressing. We offer personal care services can provide aides that also help remind you to take your medicines, do...
Renee’s Helping Hands is a home care and companionship service provider based in Indianapolis, Indiana. We have more than 21 years of collective experience, providing loving and genuine care to people who need assistance...
I wanted to take a moment to explain why I believe my business is highly qualified to be your private non-medical home health agency. We specialize in providing personalized care that helps seniors and individuals with...
Our Mission/Vision Our mission is to provide exceptional, reliable support services to all ages in the comfort of their own homes. Our vision is to become the preferred home care provider in each community we serve.
At Dependable Living, we are committed to empowering individuals to lead vibrant, secure, and fulfilling lives. Our mission is to provide unparalleled support and resources that enable our clients to navigate the...
Owsley Homecare Services, LLC is a homecare provider specializing in offering personalized, in-home care to individuals who require assistance with daily living activities.
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
At Love and Grace our mission is to bring compassion back into home care. It is our goal to foster companships and meaningful caregiver relationships, improving overall health for individuals. Our caregivers provide...
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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.