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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:
Isabella Care of Atlanta provides professional, compassionate, and dependable caregivers that will meet the unique needs of your loved ones while they maintain their independence, dignity, and comfort of being in their...
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
At Your Family Homecare of Atlanta, we provide compassionate, reliable non-medical home care designed to help seniors and adults remain safe, comfortable, and independent at home. Our services include personal care...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
Seniors Helping Seniors® 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...
At Senior Helpers of Lawrenceville, we know how challenging it can be to get the help you or your loved one needs. We have been in the exact same spot as you are in now.
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Always Best Care combines national strength and standards with local accessibility and personal service. The team at Always Best Care Atlanta has your loved ones’ best interests at heart, and will ensure that exceptional...
At CareCo – The Caregiving Company of East Atlanta, our mission is to enrich lives by delivering exceptional, compassionate, and personalized in-home care that empowers individuals to live safely, comfortably, and...
Alex Comfort Living LLC, Compassionate In-Home Care Services At Alex Comfort Living LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
We are dedicated to providing exceptional care and peace of mind to families and their loved ones. If we can be a help to you or a family member contact us for more information.
Home Instead Snellville offers individualized in-home senior care right in your neighborhood. Our trained, screened and bonded CAREGivers are serving Georgia communities with compassion and devotion.
Welcome to SYNERGY HomeCare of Suwanee. Up to 24-hour home care. CARE THAT MOVES YOU. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
Charlotte Web Private Home Care, LLC is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Janet McLaren, owner of Amada Senior Care Snellville, views her role as part of a larger commitment to our population of cherished seniors in Greater Snellville and surrounding areas. To Janet, elders create the...
Compassionate Keepers Home Care – Macon, GA Trusted In-Home Care for Seniors & Adults with Disabilities in Macon and Middle Georgia Welcome to Compassionate Keepers Home Care of Macon, Georgia, where we are dedicated to...
Homewatch CareGivers of Lawrenceville, GA provides a broad spectrum of in-home care services, from personal care to companionship. Our caregivers are trained to support daily activities such as meal preparation,...
At BrightStar Care of Lawrenceville, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support for our...
First Image Home Care Solutions LLC, GA is a home care provider that services Lawrenceville, GA 30046. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care® grew out of a desire to provide seniors, and others needing non-medical assistance at home, with the option that most people prefer – to remain independent, safe and comfortable in their own...
STEDFAST HOME CARE SERVICES is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing loving and kind healthcare assistance for individuals and their loved ones is a responsibility that we at Pro–Hands Home & Health Services expertly shoulder. If you are considering getting the needed help to aid...
Azalea Home Care provides compassionate and personalized in-home care services. Our dedicated caregivers assist with daily tasks, ensuring comfort, safety, and independence while enhancing the quality of life for seniors...
American Healthcare & Family Services, LLC is a compassionate Private Duty In-Home Care Agency. We put our reputation on the line to provide uniquely client-centric Home Care by striving to ensure a better quality of life...
L and W Legacy Home Care, Compassionate In-Home Care Services At L and W Legacy Home Care, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
At A Circle of Love Home Care, we understand the importance of providing exceptional care and support for your elderly parent when you are unable to be there. Our dedicated team of caregivers is committed to ensuring the...
Understanding companionship, personal care, skilled nursing care, respite services, and home support services to physically challenged and dependent individuals who need assistance with day to day chores from the comfort...
J & B Home Healthcare is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care for the 21st Century of Lawrenceville, GA - FRANCHISE LOCATION CLOSED is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while...
Time is golden and the time you spend at home is even more precious. At Golden Home Care, we share your goals in staying at home for as long as possible especially when you’re facing old age or when your...
With highly personalized care and a dedicated team of compassionate caregivers, you and your family can expect more from HomeWell Care Services in Lawrenceville, Gwinnett County and surrounding areas.
Home Partners, Inc. is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide professional and para professional services to clients in their homes assisting them to achieve the highest level of potential in their day to day self care activities. We are committed to providing high...
Kim’s Kind-Hearted Care is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why Choose Affordable Home Care? Free initial consultation Recovering from childbirth will get quality care Licensed, Insured and bonded All our policies, procedures and systems are fully HIPPA compliant Recovering...
Tender Hands Private Home Care of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
OOB ComForCare Home Care of Lawrenceville, GA is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a dedicated team of compassionate caregivers, you can expect...
Priority Caregivers of Atlanta, LLC provides compassionate, non-medical in-home care that helps seniors live safely and independently at home. We offer personalized support with daily activities, companionship, personal...
Heavenly life homecare is a home care provider that services in Lawrenceville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Discovery Homecare provides personalized in-home care services tailored to meet the unique needs of each individual client. Our team of dedicated caregivers is committed to enhancing the quality of life for our clients...
You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, we are here to provide you with home care services, specifically structured to cater to your...
At Amada Senior Lake Lanier, we get to know the seniors we work with so we can provide an enriching care experience. We go beyond the typical caregiver tasks with personal touches that brighten the days of our clients. We...
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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.