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:
At SYNERGY HomeCare, we are your trusted in-home care provider, building 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....
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...
Aarris is here to help. Providing the most comprehensive, high-quality care at the most affordable price, we understand the challenges of taking care of a loved one and the necessity to keep them safe and well cared...
As a family owned, not for profit organization, Canaan Home Care is at the forefront of the home care industry. Canaan has been a partner of the State of California for over 25 years, together, raising the home care...
Premier Home Care is your family's trusted companion and the leader in providing affordable personal in-home quality care solutions and services for seniors and disabled individuals. Services can be provided 24 hours a...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
Senior Helpers of Long Beach is a family-run business founded by Julia LaPlount in 2019. Julia, her daughter and her granddaughter have all been inspired by their own personal caregiving experiences to serve seniors who...
Perfect Fit Home Care is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Founded in 2020 by industry veterans. After 16 years of combined home care nursing experience across different aspects of the home care field, Prestige Home Care Angels' founders decided to start their own home care...
Premier Senior Care is the leading in home senior care provider in California, specializing in Alzheimer's & Dementia Care. It is an established and respected senior care provider offering senior home care, personal...
Senior Helpers Torrance is committed to delivering dependable and affordable in-home care through well trained caregivers. Nothing is more important to the Torrance team than being the best available resource for seniors...
Senior Helpers of LA Beach Cities is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sunset Healthcare Inc. is a company that specializes in providing a wide range of healthcare products and services, with a focus on respiratory and home medical equipment.
Best Care Home Health Agency is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Southern California Caregiving combines professional care with compassionate and caring service that goes beyond the required non-medical assistance. We’ve always believed that caregiving is God’s calling for us; in...
Eastern Home Health, Inc is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AMITY IN-HOME CARE SERVICES, INC. is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Heart Companion Services, LLC is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PRO REGAL CARE, INC. is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing In-Home Care in Torrance, California - Who do you turn to when you or a loved one needs a hand around the house? FirstLight HomeCare, that’s who! We provide a variety of companion and home care assistance...
The Barnes brothers founded Presidio Home Care in 2009 to meet the needs of their loved ones and of those in their community. With the intention of exceeding the expectations of those that called on them for assistance,...
In lively staffing and home care agency our mission is loving and caring, restoring dignity and independent. Our specialization area is sending out qualified individual staffs and caregiver to the respectable assignments.
At Family Connect Memory Care, we know that the safety and comfort of your loved ones are your top priorities. That’s why you give everything you have to make sure they are taken care of—your time, your energy, and most...
Greater Home Health Care Incorporated is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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BrightStar Care of Torrance, CA is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 2004, Caring Heart Home Care has been providing seniors with quality home care services from the comfort of their homes. Our services are tailored to fit their specific needs. We are a filipino-owned agency based in...
At HomeLife Partners, we provide a unique and powerful combination of “family-style” in-home assistance for seniors along with Certified Geriatric Care Management Services. For over 7 years we have focused on one family...
Gentle Care Services Corp is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We offer the very best and compassionate care for the elderly. It is our goal to improve the physical, emotional, and spiritual wellness of our clients, and that is exactly what we do every day at your own home sweet...
Alta Home Care is dedicated to providing personalized care that enriches the lives of our clients and helps them maintain the highest level of independence. Every Personal Attendant is carefully screened, selected, and...
The Center of Home Health is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Torrance Memorial Home Health is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands Home Care of Torrance, CA is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Baby Boomers In Home Companions South Bay is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Torrance/Santa Monica, CA is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Golden Bay Health and Staffing Services LLC, we are dedicated to providing exceptional care and service that enhances the health and well-being of our clients and communities.
KINAH MAE BEST HOME CARE is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Chs Homecare is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Patients First Home Health Agency, Inc is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
The Home Care Group Inc is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accessible Health Care of the L.A. Coast “We guarantee compassionate care” We service all age groups from newborns to seniors. Our compassionate care solutions are provided for our clients in all settings – we come to...
Physicians Choice HH is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Envision Home Health Services, Inc is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In memory of our mom, Livewell Private Care continues to provide the loving, professional and tender care that families have come to expect from our Livewell brand. Our focus is on hiring and placing the most qualified...
At Tandem Careplanning, our mission is to revolutionize home care by empowering seniors and uplifting caregivers, ensuring that together, we thrive. Our CEO, Joshua Greer, faced the same challenges and frustrations as...
HomeWell Care Services of Torrance, CA is a home care provider that services in Torrance, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.