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:
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Griswold is an award-winning pioneer in the home care industry, with over four decades of experience and a storied legacy of compassion and integrity. We believe Care Professionals are the foundation of our success, and...
Home With Help is a trusted provider of comprehensive non-medical companionship / home-making and Personal Care Services in the Greater Scottsdale, Phoenix Arizona. We are committed to providing the most compassionate,...
We provide Core In‑Home Care Services Personal care: Assistance with bathing, dressing, grooming, toileting, incontinence care, and hygiene support , obility & transfer help: Aid with transferring, walking, fall...
Senior Helpers of Scottsdale was proud to join the exceptional team of over 300 other Senior Helpers owners in 2007. Shaun Phelan was inspired to start providing quality care to the senior population after he witnessed...
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...
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At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
Our aspiration is for both our clients and colleagues to continually encounter profoundly positive interactions. Our mission is to enhance the quality of life for our elderly clients and their families by delivering...
Homecare Connections provides compassionate, dependable in-home care designed to support independence and enhance quality of life. We focus on building meaningful connections between clients, families, and caregivers,...
Gold Star Home Care LLC is a home care provider that services in Scottsdale, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our team has a deep understanding that home is not only a place to live but also, at times, a clinical setting where professional support matters most. Families do not reach out because everything is fine. They reach out...
EH In-Homecare Services proudly provides non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members...
Steady Homecare is a trusted provider of compassionate, in-home support for seniors and adults who wish to maintain independence in the comfort of their own homes. Our dedicated caregivers assist with everyday tasks,...
Blessed Help Care is a compassionate and client-centered home care provider dedicated to enhancing the quality of life for seniors, individuals with disabilities, and those recovering from illness or surgery.
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....
Companion First Home Care is a family-owned, professionally led home care agency offering non-medical in-home support to seniors across Arizona. Our purpose is clear: to help older adults remain safe, independent, and...
Cerna Homecare provides top quality bonded and insured, senior care services including hourly, live-in and 24/4 care. Cerna provides specialization for people with mobility issues, Dementia, Alzheimer’s, Parkinson’s,...
Home Helpers & Direct Link Scottsdale is proud to be the most TRUSTED and RESPECTED provider of comprehensive home care services and support for individuals who choose to remain independent wherever they call home. We...
At our home health care agency, compassion is at the heart of everything we do. We are more than just caregivers—we are trusted companions who treat every client like family. Our dedicated team goes above and beyond to...
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For us, being a trusted non-medical in-home caregiver means providing clients with a personal touch. Our comprehensive home care services take care of your loved one while you’re away, and give them the independence they...
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Advanced Clinical Associates, LLC is a home care provider that services in Scottsdale, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar of Greater Scottsdale provides the full continuum of home care, (including adult and elder care) child care (including newborn care, babysitter and nanny services) in addition to medical staffing services for...
We aspire to pioneer the future of in-home healthcare, solidifying our position as the foremost choice for individuals in need of care. Our goal is to enable patients to gracefully age in place, receiving the highest...
BAYADA provides a full range of services for every care need Helping our clients thrive is our highest priority and greatest joy. Whatever your age, stage, or need is, BAYADA is there for you. We are experts at...
I Need An Angel Home Care provides professional and safe employees, caregivers and personal assistants. We are “Caregivers You Can Depend On”. Independent and dependent seniors and those recovering from surgery or...
Seniors Helping Seniors® Scottsdale's 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...
HomeWell Care Services of Scottsdale, AZ is a home care provider that services in Scottsdale, AZ. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Always Best Care combines national strength and standards with local accessibility and personal service. Your local Always Best Care team will be helping families throughout Tempe and surrounding communities providing...
SYNERGY HomeCare of the East Valley and Pinal County employs hundreds of caregivers to assist with daily living activities in the comfort of your own home. Let us find the right caregiver to meet your needs. Our...
Home Matters Caregiving is compassionate care you can depend on. Discover the benefits of professional caregiving in the comfort of your home. Learn how a Professional Caregiver can help create great days for your...
Griswold Home Care is available to assist you and your family with your home care needs. We specialize in providing quality home care with consistent, experienced caregivers, including live-in home care.
Alex has served ten years in the United States Marine Corps, both on active duty and on the reserves, where he has trained and led marines as a Sergeant. Since then, he has held several leadership positions in the...
Acti-Kare of Scottsdale, AZ offers in-home care services to Scottsdale and the surrounding areas that will help you or your loved be comfortable at home while you age or rehab at home. Remember, when you can’t be with...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. In select markets we've also added skilled home care for clients that suffer from illness...
ComForcare understands that today's busy lifestyles often deprive family members of the time necessary to provide hands on assistance and companionship for their loved ones. Therefore, we want every family we service to...
We are an affordable alternative to assisted living facilities and nursing homes – we help our clients to stay in the comfort of their own homes. With our in-home care services, clients will not need to rely on family...
Endeavor In-Home Care is excited to be the agency clients and their families trust to provide the highest quality of care in the greater Phoenix area. We pride ourselves on bringing love and joy into the lives and homes...
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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.