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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.
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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 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...
2nd Family - Eldersburg is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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.
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...
We understand that the first step in determining what type of care is most appropriate is to first meet with a client for a complimentary in-home assessment and visit. Our goal is to help you experience the least...
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.
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...
Capital City Nurses of Columbia, MD is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Our mission is to enrich every lives we encounter, we are dedicated to providing experienced caregivers, quality patient care with relentless attention to clinical excellence, patient safety and consistency to ensure...
Anchor Home Health Services, LLC in Upper Marlboro provides compassionate, client-centered in-home care designed to support independence and quality of life.
Companionship Assistance: Emotional well-being matters. We understand the importance of social interaction in elder care and provide dedicated support .Assistance with ADLs: To foster dignity and independence, we...
Trustworthy Staffing Solutions is a Residential Service Care Agency established and designed to provide quality, cost effective in-home nursing and personal care for the adult and pediatric medically impaired.
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...
The Ultimate Healthcare Services, LLC is a homecare agency serving Owings Mills, Maryland and surrounding areas. with compassion, respect, and excellence. Homecare agencies provide non-medical personal care services that...
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...
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...
At WestLake Family Home Care, we understand the importance of personalized home care. Our highly skilled and compassionate caregivers provides a wide range of services that are tailored to meet your unique needs. Whether...
Teia's Helping Hands - Owings Mills, MD is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Rehovot Resources Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At West Pointe Healthcare, we are dedicated to ensuring that you are placed in the perfect role that aligns with your skills and preferences. With our wide offering of permanent and locum roles across the entire health...
Caring Heart Private Duty Services Llc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home is Where the Heart Is! ABIC HEALTHCARE SERVICES INC is fully committed to rendering personal care and skilled nursing services to its clients in the comfort of their homes or wherever they call home. The team...
America Health First, Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
EldersChoice of Maryland, LLC provides 24/7, live-in non-medical home care support services. We are partners with EldersChoice, Inc. in Pennsylvania and EldersChoice of Connecticut, LLC, businesses that have served...
More and more people are getting old, and they need help. Sometimes their family can't always be there. They might need someone to help them with daily tasks like eating and bathing. That's why Cornerstonet, LLC was...
Community Home Health of MD is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CMAG Health Solutions, LLC is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Tomajoa Healthcare Resources Inc our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
Celtic Healthcare is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Comfort, L.L.C. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Quality Home Care Services by Arete Home Health Care Exceptional Care, Right at Your Doorstep in Maryland Experience unparalleled professional home care with Arete Home Health Care, a leading local home care agency in...
Funado Care Services, Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angels Companionship Care, Llc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Fortress Home Care, Inc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Covenant Care Nursing Services, Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Trinity Health Care Services Corporation is a trusted provider of compassionate and professional home care services dedicated to enhancing the quality of life for individuals and families in need. Founded on the...
Treasured Home Residential Agency is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing high-quality healthcare services is our topmost commitment. IDEAL CARE SUPPORTS INC. is a licensed, certified, and bonded healthcare provider in Maryland. We take pride in rendering the best set of services to...
Caring Matters Homecare is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We know you will find everything you need to get your loved ones the assistance they require. And we know you want to enable them to stay where they love, at home! That’s why A Better Alternative Nursing Agency, Inc. in...
All Staffing Medical Services is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We proudly offer a wide range of non-medical services including personal care assistance, bathing, grooming, and dressing, toileting and incontinence care, mobility and transfer support, medication reminders,...
Complete Home Care was established in order to assist you or your loved one overcome any burden. As a local Residential Services Agency, we pride ourselves on offering the most comprehensive home care services.
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.
Our primary objective is to bring more enjoyment to the lives of those who find it increasingly difficult to function well on their own. We remove the burden of stress from both the person needing assistance as well as...
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...
A D&D Home Health Services our commitment is to transform the way in-home care is experienced by blending compassion, excellence, and truly personalized support. Our mission is to help individuals live safely and...
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...
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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.