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:
Senior Helpers of Louisville South is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our philosophy at Wise Home Care is to provide the quality of care that we would want for our loved ones. Home care is a sincere appreciation of and for the people we serve. We invite you to call us to discuss how Wise...
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Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
At Always Best Care, we believe it’s a good feeling to be included in our clients' lives. Subtle smiles and long talks, showing kindness and humor during difficult times, providing the right levels of care – these are the...
Our Mission A compassionate and welcoming community providing health and wellness services for adults and families, with an intentional focus on hospitality and excellence.
We live the mission with our CAREGivers, our staff and our community by: Treating each other with dignity and respect Encouraging and supporting each others' growth Building value in our service to others Honoring...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
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...
Viva Senior Services is a compassionate, client-centered home care provider dedicated to helping seniors live safely, comfortably, and independently in their own homes. We offer personalized non-medical care services...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
CENTRAL HOME CARE is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Interim HealthCare of Louisville, 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 independence. Our...
At Homewatch CareGivers of Louisville, we understand that whether you’re 99 or 29, a little help can go a long way. No matter how much you love them, caring for your elders can take a lot of time out of your day and a lot...
Harbor House Home Sweet Home, Inc is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
HomeCAREConnections, (formerly known as Kinnett Care) has been established in Louisville for over 10 years. We offer Non-Medical in home care ranging from 4 hours to 24 hour live-in-care. We have an abundant staff of...
Kindly Home Care LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home 1st Care is a compassionate and dedicated service that prioritizes the well-being and comfort of its clients. They offer personalized care with a deep commitment to maintaining the dignity and independence of those...
Caretenders is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Caring Hands is State Certified to provide Non-Medical Personal Care Services. We provide trained, insured and bonded caregivers for the services you need. With extensive background in Caring for individuals in...
DUPE - Bluebird Homecare is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We welcome you to join us as we revolutionize a new way forward in home care. Our modern home care company is your partner in achieving better health and assisting you to have a more fulfilling life. We believe that home...
We all want the best possible care for ourselves and our aging loved ones. Yet all too often, when the need arises, we don’t know who to turn to or which questions to ask. Assurance Home Care is here to assist you. Since...
Home Care with Always Care Kentucky is transforming the way home care services are delivered in the state of Kentucky. We believe in a holistic approach to providing care. We treat the whole person: mind, body, and spirit.
Helpers Home Care, we have been providing professional in-home care services since 1997. For over 25 years, our one-on-one compassionate care has been allowing our clients to stay right where they belong: at home.
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Since 2016, Able Helpers Homecare has offered high-quality home health care in Nashville, Tennessee. We have dependable caregivers who have undergone proper training to provide our clients with customized services. As a...
Jewish Family & Career Services of Louisville, INC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Genuine Global Care is an in-home care agency serving Lincoln, NE, Dallas, TX, and Louisville, KY, providing personalized care to the elderly, disabled, and anyone in need of assistance, regardless of age. We specialize...
Home Helpers Home Care of (Middle) Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
FirstLight HomeCare offers complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance. At FirstLight HomeCare we work with you to...
LHC Group is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Kentucky Affordable Home Healthcare LLC we are here to provide Home Healthcare Services to families who may not be able to afford high costly prices for Home Healthcare. As a Promise to our People and Society, We are...
COMPASSIONATE CAREGIVING CORPORATION is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comforting Choice LLC is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Welcome to Mercy Works Louisville Senior Care. Providing 24/7 personal care assistance to senior citizens with exceptional care and service plans. Mercy Works Louisville can assist with all non medical, personal care...
Locally owned and operated, Senior Helpers Louisville is dedicated to creating a great match between the caregiver and the family. No matter the type of in-home care your loved one requires, trust the team at Senior...
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
Premier Caring Hands is State Certified to provide Non-Medical Personal Care Services. We provide trained, insured and bonded caregivers for the services you need. With extensive background in Caring for individuals in...
Accredited by The Joint Commission, BrightStar Care of Louisville is locally owned by Louisville, KY natives Christian and Leslie McCutcheon. Our experienced staff is dedicated to providing high quality, dependable...
Pathways Home Healthcare is a trusted in-home care agency dedicated to providing compassionate, reliable, and personalized support to individuals who wish to remain in the comfort of their own homes. We specialize in...
Baptist Hospital East Home Health Agency is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Family Support Services is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Helping Seniors of (Kentuckiana) Louisville, KY is a home care provider that services in Louisville, KY. Home care services allow seniors to remain safely in their own home while receiving medical care or...
We aim to positively impact your life by providing quality care and attention to your loved ones. KallyKare’s founder, Jemima Kalala, a mother of three kids, has worked in the caregiving field for over eight years in...
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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.