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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:
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
When the time comes that extra care is required, whether due to age or health condition, many people prefer the familiarity and comfort of their own home. At Homewatch CareGivers®, we believe that good care should not...
Allset Home Health is a non-medical in-home care agency based in Maryland, dedicated to providing compassionate and reliable support for individuals needing assistance with daily living activities. Their services include...
1. A care team led by a Registered Nurse that develops and implements a personalized care plan for each client 2. Experienced, compassionate, and highly trained caregivers 3. On-going training and Development for all...
Maryland's Best In-Home Non-Medical Care At Maryland's Best In-Home Non-Medical Care, we are committed to helping seniors and adults maintain their independence, dignity, and quality of life in the comfort of their own...
2nd Family - Eldersburg is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to bridge the gap between loving caregivers and families who need their services. We do so in a way that does away with traditional agencies, referral services and the exorbitant prices that come with them....
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also...
Vine Healthcare Services is a dedicated home care provider committed to helping seniors and individuals with health-related needs maintain their independence, comfort, and quality of life while remaining safely in their...
If you’ve been searching for a home care agency for your care or your loved one’s care, then you know there is a sea of sameness in the dozens of home care choices, making it difficult to actually choose one. And we know...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
We are a home health care agency that serves your best interest. We believe that every client deserves the utmost professional care and services whether at home alone or confined to a hospital or rehabilitative facility.
Capital City Nurses of Chevy Chase, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care For Me Home Care Services is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Comprehensive Home Care Services in Montgomery and Prince George’s County Are you seeking high-quality, reliable in-home care for your loved ones in Montgomery and Prince George’s? Look no further than Home Helpers...
Best Care Home Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a dedicated healthcare provider committed to delivering exceptional care to those in need. Our goal is to enhance the lives of our patients and their families by providing comfort, support, and dignity. Based on...
What Makes SYNERGY Different? Reliability SYNERGY HomeCare's Care Team can be relied upon to be at their assigned shift as scheduled. SYNERGY HomeCare utilizes a telephony system allowing us to know when our caregiver...
Philia is a Home Care Agency in Washington, DC providing senior and child care services. Our focus goes beyond our clients’ safety and health as we incorporate activities into the care plan to address their emotional...
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...
Options Home Care of Gaithersburg, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at Amaray Care, we offer quality services in the field of nursing and nutritional guidance, as well as geriatric health care management services. We offer these services through a network of healthcare providers on a...
Vitalis Healthcare Services is licensed and certified by the state of Maryland to provide Residential Health Aides (RHA's). Our RHAs are trained to give you personal home care. Our Home Health Aides (HHA’s) are trained to...
Nest & Care LLC, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Critical Intervention 911, Llc is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are an affordable, compassionate choice for family caregivers considering nursing homes or assisted living facilities, and our attentive, dependable caregivers can offer comfort and relief. We offer customized in-home...
Angel Of Care Home Health Services is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for a family member can be challenging. At Compassionate Caregivers of Maryland, we strive to deliver just the right care for your loved ones to be safe and healthy, and to be a reliable partner you can turn to for...
Amedisys Home Health Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
5 Star Business Group LLC is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heart For Life Healthcare, offers a variety of care related services, to assist you while you recuperate from illness, injury or surgical procedure. In addition to our skilled nursing care, personal care,companion...
Medicaid Personal Providers, MD is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Choral Healthcare Services Inc - Silver Spring is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to provide an individualized plan of care and to meet the physical and emotional needs of client/family. We reflect a spirit and philosophy of caring to ensure comfort, dignity, and quality of life for each...
Holy Cross Home Care is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Exec Nursing Services is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comprehensive Home Health Agency is a home care provider that services in Silver Spring, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tessy Home Care LLC, is known as a trusted provider of compassionate home health care services based in Maryland. We specialize in providing exceptional care tailored to the unique needs of seniors, disabled individuals,...
Customized Home Care Service to Meet Your Needs. As you get older, you may need some assistance with your daily routines or need health care services. To make it even easier on you and your family, you can seek...
Your home provides comfort and security like no other place on earth. Our mission is to assist and help you manage your personal and medical needs in comfort of your home.
Kabir Home Care is a non-medical home care agency that covers Fairfax, VA. We are dedicated to providing personalized, compassionate care to seniors and individuals with disabilities who wish to maintain their...
At Genesis Homecare Services, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence. Our mission is to support individuals in leading fulfilling...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
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...
Gloves Health Care Services LLC provides comprehensive home health care services that address our clients’ overall health and well-being. We have a multidisciplinary team of professionals dedicated to providing...
At Freedom Home Care, we are dedicated to providing the highest quality of care in the Home Care Profession. We are a bonded and insured non-medical home care agency serving the Anne Arundel County Area. We provide...
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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.