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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Inhom Senior Care, located in Burnsville, MN, provides personalized non-medical home care services to seniors, ensuring comfort, safety, and independence in their own homes. Their compassionate caregivers offer assistance...
At Heart of a Star Home Care, we are dedicated to providing compassionate and personalized home care services to the Minneapolis community. Our team is here to support you or your loved one with a range of services...
At Senior Helpers, we are here to help anyway we can to help you or your loved one live safely at home. Our caregivers receive the highest quality training through online education, hands-on practice in our Center of...
Our office is co-owned and operated by Paul and Laurie Barthol, and Tanya and Jeff Ferber. At Senior Helpers South Minneapolis our primary goal is to help provide a high quality of life for our clients and their families,...
At FirstLight Home Care of Saint Paul, 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...
At Ascendcare Home Health Solutions LLC, our mission is to elevate the lives of seniors and individuals with disabilities, empowering them to thrive in the comfort of their own homes. We believe in a holistic approach to...
Crest View Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Supporting Independence, Dignity and Quality of Life...That's the ComForcare vision and our promise to our clients and their families. Since 1996, ComForcare has specialized in delivering affordable, guaranteed...
Supporting independence,dignity and quality of life... Since 1996 ComForcare has specialized in delivering affordable, guaranteed home care services to your community. Our comprehensive range of non-medical care...
Mary T. Home Health Care Services is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Park Nicollet Methodist Hospital Care Svcs is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royal Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Life is so much more than a to-do list. It's a series of moments with the people we love, making memories that make up a lifetime. BrightStar understands this, and is committed to making more of those moments possible in...
Alliance HHC & Nursing Services is a licensed agency by the State of Minnesota that provides quality health care to patients in their homes. Our agency started after hearing concerns from patients about what other...
At CareMinders® Home Care, our goal is to exceed the expectations of clients and their families on a daily basis, after all . . . “Your Comfort is Our Responsibility” We offer a wide range of both long and short term...
Comprehensive Home Care, Inc. is a Minnesota Class A licensed home care provider accepting Private Pay and Long Term Care Insurance. We are dedicated to providing the highest quality multidisciplinary home care to our...
Childrens Home Care and Hospic is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We make life easier! We are dedicated to assisting people with health challenges in improving their lives. We exist to make a positive difference!We serve people with physical disabilities, Alzheimer's, severe and...
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For over 20 years, Allied Professionals, Inc. has been providing Twin Cities Residents experienced health care professionals for private, personalized home care and personal assistants. We have been very fortunate to...
Covenant Home Health Care LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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alleviaCARE is dedicated to providing seniors with the opportunity of remaining comfortably in their own homes while they receive care. We coordinate all services and care necessary to supply seniors with the healthcare...
Comprehensive Home Care, Inc. is a Minnesota Class A licensed home care provider accepting Private Pay and Long Term Care Insurance. We are dedicated to providing the highest quality multidisciplinary home care to our...
Fairview Home Care and Hospice is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
International Health Care Serv is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American United Care,LLC “Caring is our passion” About American United Care We are people centered home health care agency licensed by the state of Minnesota. We are committed to providing high quality care and customer...
Family Care Services Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Around the Clock Home Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nightingale Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Baywood Home Care,formerly Homewatch Home Care, is a Minnesota Class-A Licensed Home Care provider that is locally owned and managed. We have been making it possible for Minnesota's seniors to live their lives at home,...
Carefocus Corporation is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rem Health Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Utmost Care Health Services Llc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Plus Home Health Agency is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
iCare Health Pro is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a fully comprehensive home care agency providing care for individuals in their own home. Our services range form companions to nursing, including house hold cleaning. Adult Help and Companion Care can provide care...
AgeWell provides services to help seniors continue living at home, as well as services to find the "best fit" housing choice when living at home is no longer an option. AgeWell's key to personalized, preventive care...
Ambassador Good Sam H C 3400 is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Solutions is a licensed, Class A, home care agency, exclusively providing 'live-in' home care. We enjoy being an option for anyone whose condition is such that they need to have assistance with their personal...
At HomeWell Care Services we provide live-in and hourly home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our knowledgeable Care...
Senior Helpers - Roseville is a home care provider that services the North Metro Area in the Twin Cities. Our office is owned and operated by Paul and Laurie Barthol, with 15+ years of hiring family caregivers, are...
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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.