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:
Senior care services from Home Instead® help to enhance the aging experience by providing practical support at home with a human touch. Our professional caregivers immerse themselves into wherever home is to assist 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...
Centry Care Plus is a non-medical service that provides emotional support, socialization, and practical help for adults who want to maintain their independence. Services include companionship, assistance with errands and...
Experience a happier, healthier life at home. We know there’s no place like home. That’s why HomeWell brings you the highest quality of care so you can maintain your independence and experience life to the fullest.
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
Capital City Nurses of Columbia, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Home Instead® is a reliable source of home care for seniors in the West Baltimore and Howard County area. Services include companionship, meal preparation, light housekeeping, med reminders, shopping, errands, more. We...
Home Instead® is a reliable source of home care for seniors in the Anne Arundel County area including Annapolis, Edgewater, Arnold, Severna Park, Pasadena, Crofton, Millersville, Odenton, Odenton. Services include...
We are committed to quality home health care for our clients through professional caregivers, a thorough plan of care, and superior execution of our services.
Engage, Enrich, Empower Care in the Home: Five simple but trans-formative principles 1. Learn and grow together. Loved ones with Alzheimer’s or other forms of dementia, can continue to take pleasure in their favorite...
At Mon's Homecare, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each client...
Watchen and William Bruce, the owners of Amada Senior Care Nottingham, are deeply passionate about delivering high-quality senior care to their community. Watchen and William’s commitment to this vital service is rooted...
2nd Family - Eldersburg is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Senior Helpers Baltimore is the premier provider of in-home senior care. We offer tailored home care services ranging from companion care for seniors who need daily assistance to in-depth specialized care for those with...
A Homemade Plan: In-Home Senior Care A Homemade Plan (formerly Angels of Care) is an in-home senior care company that provides Caregivers in the homes of senior citizens and people who have disabilities to assist with...
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
A Place At Home is a company that focuses on providing personalized, compassionate care for seniors, offering services such as in-home care, assisted living, and memory care. With a mission to help older adults live...
Mia Dalcour understands firsthand the challenges of caring for an aging loved one. After her mother suffered from a stroke and began requiring assistance with her daily tasks, Mia learned the importance of reliable...
Grace Healthcare Service Inc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greater Baltimore Homecare Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health and hospice services.
The Prime Placement of Baltimore, Compassionate In-Home Care Services At The Prime Placement of Baltimore, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity,...
Our caregivers are selected not only for their skills but also for their compassionate and angelic nature, ensuring a nurturing and uplifting care experience.
Home Helpers Home Care of (Northwest) Baltimore, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance...
Amedisys Home Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Margaret's Care Agency LLC is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PIOF Home Healthcare Services LLC is a trusted provider of home health care services in Maryland, serving the counties of Baltimore, Harford, Howard, Prince George, and Montgomery. With the help of our compassionate...
Sprouting into business on December the 18th, 2019, Dandelion Healthcare LLC has come long since our official founding two years ago. We have now established a comprehensive home healthcare program that reflects the...
Dunaway Caring Hearts originated in 2017, growing into a healthcare business that offers many services. We show compassion to vulnerable people of all backgrounds and ages. We lead the mindset of compassion and tenacity...
Maryland Home Health, Llc is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All for your peace of mind, we dispatch caregivers and make sure that senior citizens at home get the assistance they seek. To hire our in-home caregivers or inquire about our services, contact us. You may also fill out...
Balto. Co. Dept of Health is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort at Home Global is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comprehensive Home Health Services is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Life & Light provides level three care to the adults and pediatric population. The agency provides the needed services to all age ranges, infants and children, teens and young adults, adults, and seniors. Our services...
Adonai Alpha Healthcare Solutions is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Griswold Home Care for Anne Arundel & Queen Anne's Counties, MD is a home care provider that services in Baltimore, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Senior Helpers Severna Park provides a full range of senior home care services for you or your loved one—from companionship and housework help, to more complex care services, including disease management, Live-In and...
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...
Johns Hopkins Home Care Group is a home care provider that services in Baltimore, 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 compassionate, personalized care to individuals who need assistance with daily living activities. We understand that aging, illness, or disability can be challenging, and our goal is to help our...
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
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...
Founded in 1966, Interim HealthCare is the nation’s first home care company and a trusted provider of home healthcare, personal care and support, hospice care and medical staffing services.
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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.