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:
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Serenity Care Home provides compassionate, personalized in-home care that helps seniors and adults maintain their independence while remaining safe and comfortable in their own homes. Their dedicated caregivers offer...
Cornerstone Caregiving is proud to serve Fayetteville and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized...
Metro Care Partners LLC is a dedicated home care agency serving individuals and families throughout Georgia with compassionate, personalized, and reliable in-home care services. Our mission is to enhance the quality of...
Home—there’s no place like it. It’s where your memories are. Where you raised your family and where friends have gathered for life’s celebrations. It’s been your basecamp through good times and bad. And it’s where you...
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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...
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Home plus care delivers reliable, compassionate in-home support that adds comfort, safety, and peace of mind to everyday living. Caregivers provide personalized daily assistance and companionship—helping clients stay...
At Careco - The Caregiving Company, we are committed to providing high-quality non-medical in-home care services tailored to the individual needs of each client. Our mission is rooted in compassion, respect, and...
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Locust Grove & McDonough, GA area, please...
Golden Hour Home Care is a Georgia-licensed private home care provider dedicated to delivering compassionate, high-quality care that allows individuals to live safely and comfortably at home.
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
Metnurse Health Services, Inc. is a licensed private home care provider in the state of Georgia. We provide Skilled Nursing, Personal Care, Respite Care, and Companion/Sitter customized in-home care services through our...
Passion 4 Purpose Home Care LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dedicated Nursing personnel with 25+ years of nursing experience, providing quality, patient-centered care in the hospital and community settings. Odelee has an extensive comprehensive clinical background in...
DIVINE HARVEST HOME CARE SERVICES LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At ARAA Home Care, we are committed to providing exceptional care and exceeding customer service expectations. Our dedicated caregivers deliver expert support to individuals and families in the comfort of their own homes,...
DAISY'S LOVE, LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
KAY TENDER CARE, LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ADMIRABLE HEALTHCARE, LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angel Cove Home Care LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Compassionate Care You Can Trust We are committed to delivering high-quality, personalized care that supports independence, dignity, and peace of mind for every individual and family we serve.
1st Choice Dependable Care LLC provides reliable and compassionate home care services tailored to support individuals in maintaining their independence and quality of life. With a focus on personalized care,...
CAREPRO HOME CARE SERVICES is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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At Empathic Touch Health LLC, we believe in a holistic approach to care, ensuring each client feels valued, safe, and supported in the comfort of their own home.
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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.
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Family Support Circle, Inc. (FSC), provides Nursing Skill Care, Personal Support Services (Personal Care & Companion/Sitter) and in-home respite services to children, adults ages 18+ & elderly with Special Needs and other...
Our home care agency Is a Registered Nurse led company with over a decade of combined experience in Home care services, Emergency Management, Mental Health, Post-Operative Care, Trauma, and Critical Care. This gives us...
Myland Homecare is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARELINKS LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
An Angel's Hands LLC is a leading provider of in-home health care and non-medical care services to residents and families in Walton county, Rockdale county, Newton County, Greene county, Fulton county, Gwinnett county,...
CONSTANT HEALTHCARE, LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Community Care Home is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
duplicate - Home Helpers Home Care of Mcdonough, GA is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Medicrest Home Care is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Health First Home Care LLC is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Gracefully Chosen Home Healthcare, we bring dignity, comfort, and dependable care right to your doorstep. Whether you’re recovering from an illness, managing a chronic condition, or simply in need of a little help...
Nurses 4 You At Home is a home care provider that services in Mcdonough, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
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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.