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:
At Sarah’s Peace and Love, we are committed to providing high-quality, customized and affordable home care services to our clients to assist them in the comfort and safety of their homes.
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Mel's Home Healthcare Agency is more than a care provider — we're your partners in wellness. Founded with a deep commitment to community health, we bring professional, compassionate care directly to your home. We...
Best Care Home Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Laurel, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital City Nurses of Chevy Chase, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
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...
Gracie Care LLC is a Silver Spring, Maryland–based home care agency providing compassionate, non-medical in-home support. Services include personal care and companionship designed to help individuals maintain...
A Homemade Plan of Lanham, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Options Home Care of Gaithersburg, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rumiberi Healthcare is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Dalma Healthcare Services, LLC, MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Distinctive Home Care Inc - Largo is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ClinCare Nursing Services is a licensed home care agency. We are committed to providing compassionate and confidential nursing care that meets the client’s right where they are. Our skilled nursing and non-skilled home...
At Auit Solutions, our experienced team of caregivers is committed to delivering the highest standard of care, whether it's assisting with daily activities, offering companionship, managing medical needs, or providing...
P-Key assists bathing, grooming, and hygiene (e.g., help with showering, dressing, brushing teeth).Helping with mobility and transfers (e.g., assisting with walking, getting in and out of bed, or using a...
Holy Cross Home Health Care Plus office is located in Bowie, Maryland. We Provide 24/7 home health care to our patients at the comfort of home. We are a licensed agency that cares and provides loving care services
Purpose Care Inc. is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Wholistic Home Care, LLC is a company that provides a variety of home care services to help individuals needing extra assistance in their daily routine. These services are responsive to the distinct needs of the...
When discomfort stifles your life, we come to the rescue, peeling away layers of physical/ mental restriction through healthcare and healthy lifestyle changes.
Beyond Care Solutions Inc. is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RRH Services LLC is licensed as a Residential Service Agency (RSA) by the state of Maryland Department of Health and Mental Hygiene, Office of Health Care Quality, License #R4333 and providers of Riverside Health of...
Affordable Healthcare Services is headquartered in Bowie, Maryland. For over 2 years we have been dedicated to providing exemplary home health care services to all our patients throughout the entire state of Maryland. We...
Lifefirst Health Care Inc is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Brightview Home Care Services, LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advance Health Care Services, Llc - MD is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
M And G Healthcare Llc is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to promote independence, provide peace of mind to families, and deliver exceptional care with integrity, professionalism, and excellence. Whether care is needed for a few hours a day or around the clock,...
At Zoe Home Health Care, our mission is to provide compassionate, high-quality, and personalized health care services that empower individuals to maintain their independence and dignity in the comfort of their own homes....
Adamant Home Care Services, is dedicated to developing partnerships in healthcare with its clients in a manner that fosters exceptional nursing and general In Home Care Services, along with complete documentation of that...
We are confident that the self-worth of our residents will not get lost by maintaining our core values of: Compassion, Confidentiality, Privacy, Dignity, Integrity, Excellence and Respect. Please call us to learn more...
American Healthcare for Aging LLC is a home care provider that services Bowie, MD 20721. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
Phoenix Home Health Care is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Balim Home Care LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassion Healthcare Services LLC (Maryland) offers all inclusive medical care that covers different areas, from daily living to complex care services in Maryland.
At Enjoycare Healthcare Services, we provide reliable and affordable home care services. We are a trusted Home Care Service our staff guarantees personalized attention to all of your health-related needs. We care about...
Welcome to Unity Homecare! We are dedicated to providing compassionate and personalized homecare services tailored to your individual needs. Our team is committed to enhancing your quality of life by delivering...
At Doricecab Nursing Care in Bowie, MD, our mission is to empower our clients with compassionate and personalized non-medical in-home care services. We prioritize their independence, dignity, and well-being, creating a...
EMC Home Health Care, Inc. provides reliable and affordable home health care services in the Maryland area. As your trusted Home Health Care Service since 2000, our staff guarantees personalized attention to your...
Gentle Touch Caring Nursing LLC is a home care provider that services in Bowie, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trust Home Care, Inc. is dedicated to developing partnerships in healthcare with its clients in a manner that fosters exceptional nursing care, complete documentation of that care, excellent interpersonal interaction, and...
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....
SHEKINAH LOVING CARE INC. is where we offer a comprehensive range of home health care services designed to meet the unique needs of each individual. Our dedicated team is committed to providing exceptional support and...
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...
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...
Welcome to Pleasant Care and Nurse Staffing! Pleasant Care and Nurse Staffing is your local source for reliable care. Our company is proudly a part of the community in Maryland, Washington, D.C. and Virginia. We serve...
Anchor Home Health Services, LLC in Upper Marlboro provides compassionate, client-centered in-home care designed to support independence and quality of life.
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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.