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.*
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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:
Avid Resource Group was founded with a passion for delivering exceptional care to the elderly and disabled. Our mission is to provide compassionate and personalized services that improve quality of life.
Elderlink Home Care, Inc. endeavors to enrich the life of every client we have the privilege of serving. We believe in quality, affordability and an unparalleled level of customer service. Our mission is to provide our...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
At Namaste, we are redefining healthcare by setting the standard for exceptional service. Our vision is to be the trusted partner that enhances lives and brings comfort, dignity, and peace to those we serve.
A Place at Home - South Denver is a dedicated homecare agency providing compassionate and professional in-home care services tailored to the unique needs of each client. Serving the South Denver area, the agency offers a...
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 HomeWell Care Services, we provide live-in and hourly at-home care for seniors, the elderly and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our...
Valiant Home Care Professionals offers reliable and compassionate in-home care services designed to support seniors and individuals with daily living needs. Our dedicated caregivers focus on promoting independence,...
Venture Forthe understands that independence looks different to everyone. We provide care that accommodates the goals of our clients and allows freedom of choice in a safe, positive environment. The first step towards...
Our One You Love Homecare in Denver Tech Center provides personal and companion care to seniors and families in Aurora, Englewood, Littleton, Parker, Centennial, Greenwood Village, Cherry Hills Village, and Denver. We...
At ComForCare in Denver South, we offer an extensive range of in-home health care services tailored to meet the unique needs of your loved one. Whether you need senior care or in-home care services for a loved one with an...
More than 90% of seniors want to age in their own home with dignity but getting the right type of care can seem daunting. At Senior Helpers Denver North we believe getting the best care for your loved ones should not be...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
ACASA Senior Care - Denver, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Our home care services can help aging adults stay engaged in everyday life with tailor-made support by professional caregivers to stay safe and well at home. It’s our mission to provide a care plan personalized to your...
At AmeriCARE Denver we believe that all people deserve to live and thrive in the comfort of their own homes, wherever they call home. We understand the complications that come with aging, surgery recovery, and managing...
For more than 13 years, we have provided quality caregivers to our patients, emphasizing communication in order to best understand the needs of the patient. We are honored to assist with non-medical personal care and...
Friends For Life, Inc.'s mission is to assist seniors and to support families. The pressures of work, family, and long distances can make caring for elderly loved ones a daunting task. While, at the same time, aging...
We’re honored to serve you and your loved one. One You Love Homecare Denver provides exceptional private in-home care services to senior adults in Denver, Jefferson, and Arapahoe Counties in Colorado. We pride ourselves...
Agape Care Community LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Over 24 Years of Experience. Evergreen and Compassionate. Nurse Dorcas is an independent nurse practice serving the greater Denver area. Nurse Dorcas is a registered nurse who offers private skilled nursing services,...
Angels Care Home Health Of Colorado is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AW Home Care is based out of Aurora, Colorado and serving the Greater Metro Denver Area. Our intelligent, compassionate and highly trained team of professionals make a difference and improve the quality of life for so...
Essential Medical Services Inc is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Affectionate Home Health of Aurora, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Edsy Home Care is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Better Home Health Care we’re dedicated to enhancing the well-being of our community with comprehensive home health services in Colorado. Our team of dedicated professionals brings extensive experience and a heartfelt...
A World Of Excellent Home Care Inc, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CONNECTING HEARTS HOME CARE of Aurora, CO is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
APEX HOME CARE is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A-1 Home Care Services emphasizes educating clients about their home care options, conducting thorough assessments to develop effective care plans. Their team of caregivers is committed to delivering compassionate and...
continental home health of denver is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Harmony Home Health is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Divine Dedication Inc is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dunamis Home Health Services is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amazing Care Home Health Services, Inc is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ceedra Home Care provides compassionate, personalized in-home care services that support independence, safety, and comfort. With trained caregivers and a client-focused approach, they assist with daily activities and...
Gifted Hands Home Health Care LLC is a compassionate home care agency dedicated to providing personalized, high-quality care that promotes comfort, independence, and dignity for every client. Our team of skilled...
DELUXE HOMEHEALTH CARE AGENCY LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMICABLE SENIOR CARE LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Home Healthcare, LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dayspring Home Care LLC is a home care provider that services in Aurora, CO. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aloha Home Health Care, based in Aurora, CO, was founded by Tuku, Robert, and Elsa, a team with deep experience in senior services. Together, they expanded their transitional care and transportation support to create a...
Cornerstone Caregiving provides compassionate, personalized home care, allowing seniors to remain comfortably in their own homes. Our skilled caregivers offer flexible, high-quality support tailored to the unique needs of...
FirstLight Home Care of Denver Southwest offers complete companion and personal care services for seniors, new mothers, those recovering from surgery, or anyone who just needs a little assistance. And with our trusted,...
Assisting Hands provides professional in-home health care services allowing our clients to remain safely and comfortably in their own homes. At Assisting Hands Home Care, we understand. Our trained dependable...
Non-medical care can work in conjunction with skilled home health and hospice care to help you manage a disease process, reduce the need for ER visits, increase adherence to the care plan developed by your physician,...
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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.