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:
Staffing on the Go was created to solve the complicated nature of hiring quality talent and finding quality jobs in the medical field. Our experienced staff goes through the critical process of verifying every job &...
Infinity Care Services, LLC is a home care provider that services Owings Mills, MD 21117. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care...
A Homemade Plan of Lanham, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Senior Helpers of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gravity Health Care offers Top Quality Home Care Services in Maryland for older adults/seniors, people with cognitive/intellectual disabilities, and for people with a wide range of physical limitations and disabilities....
2nd Family - Eldersburg is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Best Care Home Care is a home care provider that services in Laurel, 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 Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Allied QualityCare LLC is a trusted provider of compassionate and reliable home care services, dedicated to supporting individuals and families with personalized care solutions. Our mission is to enhance the quality of...
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...
Everstar Home Care, LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prime Care Solutions LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are committed to providing the highest level of quality and affordable care possible to your loved ones in the comfort of their home. Our Care Providers will continually strive to treat each and every client with...
Paragon Home Health is committed to providing exceptional, personalized care that promotes independence, dignity, and quality of life for our clients in the comfort of their own homes. We strive to exceed expectations by...
Housen Health Services manages Housen Homecare, Housen Health Staffing Services, and Resolve Behavioral. Housen Homecare has served the greater DMV serving seniors, adults with disabilities and children with special for...
Victorias Garden Healthcare Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LivingWell Health Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
True Village Care, LLC, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
At Chem Healthcare Services LLC, we are committed to providing compassionate, high-quality homecare services that empower individuals to live independently and with dignity. Based in Laurel, Maryland, we proudly serve...
At Longevity Home Healthcare, LLC, our mission is to provide compassionate, personalized, and high-quality in-home healthcare services that empower individuals to live healthier, more fulfilling lives in the comfort of...
Skycare LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring friends has a long tradition of providing exceptional care and support to residents, families, and caregivers. Our passion for giving back to the community is reflected in our caring team, who offer personalized...
DAILY BASIC Home Care Agency LLC is a specialized home care company that was instituted to meet the individual care needs of the clients that we serve. Our number one priority is to help our clients live a safe, optimal...
Love In Action Homecare, LLC - We are dedicated to delivering innovative holistic care that meets the unique needs of each individual, fostering a safe and nurturing environment in the comfort of their own home.
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.
Caring Hearts & Helping Hands Home Care, Llc of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or...
Amiable Home Health Inc of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bwell Healthcare, Inc. is a state licensed residential service agency providing complex skilled nursing services with non-skilled and Supervision of Aides to clients in the comfort of their homes. In addition, we offer...
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.
Everstar Home Care is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At jomay homecare, our nurses and caregivers are our greatest assets. we pride ourselves in providing the highest quality care vital to the health and well-being of our patients. our nurses and caregivers who chose the...
Xplicit Health Care Services, Llc of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cardinal healthcare Solutions is an in-home healthcare service agency located in Laurel, Maryland. At Cardinal Healthcare Solutions, inc. you can find skilled, experienced staff who has helped clients just like you and...
Cymatex Consults, LLC provides a full line of quality personalized Home Care and Respite services that ensure the satisfaction and happiness of our clients and their family members.
Royal Residential Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shalom Care, Inc is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Procedra, Llc is a home care provider that services in Laurel, 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 personalized and empathetic care, ensuring the well-being and comfort of individuals in their own homes during challenging times while fostering dignity, independence, and a sense of belonging...
Prime Care Solutions - Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ALLCARE@ HOME, LLC. is committed to providing a comprehensive line of quality homecare services. We provide services to individuals in the Maryland communities, we also serve the homecare and healthcare staffing...
Griswold offers compassionate in-home care for those who want support to live where they love. With over four decades of experience and a storied legacy of compassion and integrity, we focus on the people we meet and 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...
EverCaring Inc. is a Maryland licensed Residential Service Agency (RSA) and a Nurse Staffing Agency. We provides skilled and unskilled in home nursing care at affordable and competitive rates in Maryland and its...
Our mission is to improve our clients’ and their families’ overall quality of life and health. We do this by offering our services with their health, safety, and comfort in mind at all times.
Marcie Home Health Care aims to provide care, assistance and support in ways that is safe and satisfactory to all of our residents at the comfort of their homes. At Marcie Home Care, we will work with our resident, those...
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...
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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.