Are you sure you want to exit? Your progress will be lost.
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.*
✔
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:
Cornerstone Caregiving is proud to serve Santa Monica and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Happy Hearts Staffing and In -Home Care is committed to provide excellent care services to its clients for them to lead a dignified and independent lives in the comfort and safety of their homes.
As a mission-driven national company, we’re dedicated to making a meaningful impact in local communities—but it’s the heart of every caregiver and team member that truly brings that mission to life. Guided by purpose and...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Cornerstone Caregiving is proud to serve Torrance and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
We go beyond traditional caregiving—our mission is to redefine home care by delivering an unmatched level of service and reliability. Families across West Hollywood trust us because we don’t just meet expectations—we...
What sets us apart from other companies is our specialization in live-in care. Unlike higher-cost agencies that primarily offer hourly services, we focus on providing continuous, dedicated support that enhances the...
As a mission-driven national company, we’re dedicated to making a meaningful impact in local communities—but it’s the heart of every caregiver and team member that truly brings that mission to life. Guided by purpose and...
At Cornerstone Caregiving, we provide dependable, compassionate, and personalized non-medical in-home care services that help individuals maintain independence and dignity in the comfort of their own homes. Whether you or...
Lina Lopez and Maria Adelaida, the owners of Amada Senior Care in West Long Beach, California view their role as part of a larger commitment to our population of cherished seniors in Carson, Compton, Lakewood, Long Beach,...
Caring joy homecare delivers compassionate, dependable in-home support that promotes comfort, dignity, and peace of mind. Caregivers provide personalized daily assistance and uplifting companionship—helping clients feel...
“Divine Touch Home Care Services is dedicated to providing compassionate, dependable, and personalized non-medical home care that enhances the quality of life, independence, and dignity of every client we serve. We are...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead ® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
The decisions you must make about caring for your loved ones as they reach their golden years are some of the most important, and most difficult, that you’ll ever face. That’s why 1Heart Caregiver Services is the best...
As the owners of Amada Senior Care Los Angeles and Pasadena, Patrick, Christy and Richard D. Babcock, Ph.D., have set the highest standard of care for seniors living in Pasadena, Glendale and surrounding Los Angeles areas...
We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish. Our high-touch, team-based...
It is our mission to provide our clients with exceptional home care services and achieve the optimum wellness they deserve. Our mission and vision will be achieved through the application of our core values.
Welcome to Caring Hands Senior Care, LLC You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
Are you looking for a Los Angeles caregiver that you can depend on to provide your beloved family member with professional, thoughtful care? Fortunately, Homewatch CareGivers of West Los Angeles has nearly four decades of...
When choosing Homewatch CareGivers, take to heart that extensively trained and compassionate employees strive to preserve dignity while enriching quality of life and empowering independence as much as possible.
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
At Interim HealthCare of Santa Monica and Oxnard, we understand how important it is to have someone you can depend on when you or someone you love wants to stay at home to maintain the highest level of health and...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
At FirstLight Home Care of Whittier, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have...
A Caring Place was started to help people with the best quality care in their home versus in a nursing home. In this way, we offer dedicated one-on-one care of your loved ones. This means more time and energy can be put...
Choosing the right home health care services provider is important. You and your family deserve to be treated with dignity, respect, and love when you require assisted home care, dementia care, hospice care,...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead ® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
When you choose New Wave Home Care of Pasadena, CA, you can rest easy knowing that your loved one is getting the specialized care they need from a trusted, friendly caregiver.
Help At HomeCo LLC provides compassionate, dependable in-home care services throughout Los Angeles, helping seniors and individuals maintain independence, dignity, and comfort in the safety of their own homes.
Giving Compassion, Respect & Independence We improve the lives of our clients by providing compassionate, one-on-one elderly care in the comfort of their home. Our reliable senior caregivers provide home care services 7...
As a mission-driven national company, we’re dedicated to making a meaningful impact in local communities—but it’s the heart of every caregiver and team member that truly brings that mission to life. Guided by purpose and...
BrightStar Care of Conejo Valley – CA is committed to delivering the highest quality care. We have voluntarily attained accreditation for our home care agency by the Joint Commission which is a nationally recognized...
Personal Care Personal care services encompass assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, toileting, and mobility assistance. Caregivers help clients maintain personal hygiene...
lpers® Home Care we offer personal care & companionship care. We assist with elderly care and the basic activities of daily living like hygiene, cooking, mobility, errands and light housekeeping to help your loved one...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Finding an experienced and compassionate caregiver for an elderly relative or friend is a serious responsibility. You want someone who is professional but friendly and who is a good match with personality traits. It might...
As the elderly population continues to grow, in-home senior care has become an essential service for many. This type of care allows seniors to age gracefully and comfortably in their own homes, ensuring they receive...
Acti‑Kare of Beverly Hills provides high‑quality, compassionate home care for seniors and individuals who need support in daily living. We deliver care in a variety of settings, including private homes, assisted living...
In memory of our mom, Livewell Private Care continues to provide the loving, professional and tender care that families have come to expect from our Livewell brand. Our focus is on hiring and placing the most qualified...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
HomeWell Care Services of (Manhattan Beach) Torrance, CA is a home care provider that services in Los Angeles, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
We've been there. We understand. Neither giving nor receiving care is easy. Home Instead® puts relationships first to support those giving care, to protect the dignity of those receiving care, and to enhance the quality...
At Golden Years Home Care Solutions Inc – San Diego, our mission is to provide compassionate, personalized, and dependable home care services that empower seniors and individuals with disabilities to live safely,...
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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.