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:
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
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...
At C&L Comfort Living LLC, we specialize in providing exceptional home health care services tailored to the unique needs of each individual. We provide compassionate home care, including unskilled nursing, personal...
The “We are CARE” philosophy is a commitment to our core values of being Compassionate, Accountable, Respectful, and Ethical. These values are incorporated into every interaction A Place At Home has with the families we...
A Hug Away Healthcare, Inc. is not just a brick-and-mortar company; we are one of the best Female Owned healthcare agencies in Katy and Houston (Texas), with a comprehensive team of professional experts with over 35 years...
Since its inception, Cardinal Senior Care has been rapidly growing. Our Cardinal Senior Care management team brings to the company a diverse set of backgrounds with over 40 years of experience in service, hospitality,...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
At Griswold Home Care for Richmond & Rosenberg, serving the Fort Bend County area, we offer compassionate in-home care for those who want support to live where they love. We are an award-winning pioneer in the non-medical...
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Keeping a loved one in the comfort of their own home is priceless. After a long hospital stay, for example, coordinating the logistics of bathing, meal prep and cleanup, pharmacy runs, etc. can be overwhelming, especially...
At Senior Helpers, we are here to help anyway we can. No matter how big or how small the task. We are licensed, bonded and insured and have screened and continuously trained caregivers that are immediately available to...
Alina Healthcare LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dorathy Caregivers LLC is a home care provider based in Richmond, TX 77407, offering a range of services designed to help seniors live comfortably and safely in their own homes.
Bethel America Health Care Llc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ameuro Home Health Inc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Akobeyang Lifecare, LLC, we are dedicated to providing compassionate, personalized, and professional in-home care services that help individuals maintain their independence and quality of life in the comfort and...
DELMAR HEALTH SERVICES is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Evening Star Healthcare Inc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A leading in-home senior care company that has been trusted for over a decade, Acti-Kare, provides in-home elderly care to thousands of individuals every year and has constantly been ranked a leading senior and elderly...
At Devine Hands Care Inc, our mission is to serve with compassion, dignity, and excellence. We believe that every individual deserves care that uplifts the spirit, supports independence, and brings peace of mind to...
At FirstLight Home Care, we provide peace of mind when caring for you and your loved one. If you or a loved one needs a little help at your home in Sugar Land, Richmond, or surrounding communities, with elderly care,...
ASHER HOME HEALTH LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Continental Supports LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMIABLE HEALTHCARE LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Appointed Time Health Care delivers timely, compassionate in-home support that helps clients stay safe, comfortable, and independent. Their caregivers provide reliable daily assistance tailored to each person’s...
AGING GRACEFULLY HOME HEALTH is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Adbright Healthcare Services Inc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Access Health Source LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Firststep Healthcare Services Inc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aaric Home Healthcare LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We arrange a personal, professional caregiver, who can provide for your loved one, improve health and hygiene without sacrifice of their privacy. With us, you can be assured with an honest, trusted, reliable, and fast...
ACROHEALTH LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aura Home Health LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chrisdale Healthcare Sevices is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ecedynamic Healthcare INC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessed Hearts Senior Care, LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chezin Health Care Services is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Entrust Healthcare Inc, we believe care is a promise fulfilled daily. Our skilled caregivers deliver tailored support—from help with daily routines to emotional companionship and condition-specific care—empowering...
Forward Health Care LLC of Richmond, TX is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Encompass Home Health Of Houston is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care Committers Health Services Inc is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At FirstLight Home Care, we provide peace of mind when caring for you and your loved one. If you or a loved one needs a little help at your home in Sugar Land, Richmond, or surrounding communities, with elderly care,...
Coastal Health Care Systems, Inc. provides the best care for you and your loved ones in the comfort of your own homes. We prioritize your safety and comfort.
Our Philosophy at Dynamic Health Care Services Inc. is that we believe in the concept of health as stated by the World Health Organization. "Health is a state of maximal physical, mental, and social well-being, and not...
B & F Healthcare Services LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Crown Care Provider Service, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each...
Comfort Total Healthcare LLC is a home care provider that services in Richmond, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
When we started Modern Vintage, our goal was simple - to improve the overall quality of senior care. We built our business on core values such as communication, reliability and, most importantly, consistent compassionate...
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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.