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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:
HomeWell Care Services of MetroWest, MA is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Suzy Dream Home Care 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...
Mark Friedman, owner of Senior Helpers Boston and South Shore, has been in the senior care industry since 2009. His team is guided by a passion for senior care and a goal is to set a new standard in senior care in...
About Amada Caregivers Amada caregivers are compassionate individuals trained to provide personal assistance to seniors and other individuals in need. They offer physical and emotional support, ensuring the well-being...
Home Instead of Norwood is a locally owned and operated office of the world’s trusted source of homecare services for seniors. Our mission is to enable seniors to live happy, healthy, safe and independent lives in...
Welcome to Assisting Hands Home Care serving towns in Norfolk and Suffolk counties. With over three decades of home care experience in our office, our mission is clear – ensuring the health and well-being of those...
By choosing Senior Helpers for a loved one, you’re not just getting exceptional care for any of their needs, but you’re gaining a genuine, in-home connection designed to give them the absolute best quality of life. We...
BrightStar Care of Metro West provides compassionate in home support designed to help seniors feel safe, respected, and independent. Caregivers assist with daily activities, companionship, memory care, and recovery needs,...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
At it’s core, our in-home senior care service is about bringing warmth, friendship, and the highest quality of care right into the comfort of your home. More than just lending a hand, we’re here to share laughs,...
At Homily Care Agency, we offer a wide range of health care services for disabled and elderly individuals in the comfort of their own homes. Our dedicated team ensures that our clients receive the best care and attention...
Celebrating life, dignity and independence.® Since 1984, the founders of Preferred Care at Home have had the privilege of assisting clients improve their quality of life while still recognizing and maintaining their...
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...
At Cornerstone Caregiving in Norwood, we believe every senior deserves care that feels like family. I’m Priyanka, the Operating Director, and I bring over 30 years of experience as an occupational therapist, helping...
We are a recognized agency providing Home Health Care wherever a client lives in Eastern Massachusetts. We are also Alzheimer's specialists. The service can be a few hours or 24 hours. We offer Live-in, hourly,...
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...
BrightStar Care of Boston provides compassionate in home support designed to help seniors feel safe, respected, and independent. Caregivers assist with daily activities, companionship, memory care, and recovery needs,...
Impact Health Alliance is dedicated to improving community health through innovative, collaborative in-home care. We unite healthcare professionals to enhance access to quality care and promote wellness. Our mission is to...
Discover our comprehensive array of human services designed to empower individuals and foster community well-being through tailored support and compassionate assistance.
Right Now Home Care is a home care provider based in Philadelphia, Pennsylvania. We understand that every client has a different care plan they need for their individual lives. Our daily services include meal preparation,...
Home Instead of Waltham is an independently owned office of the World's largest Senior Care Organization. Owned by local resident Christopher Jenkins, the Waltham office services the towns of Brookline, Newton,...
Owners Merritt Mulman and Miles Mulman are committed to delivering the best possible in-home care to seniors in the North Shore and Merrimack Valley communities. No matter the type of care your loved one requires, Senior...
At JJ Homecare & staffing, we are a beacon of compassion and excellence in homecare and staffing solutions. Our journey began with a profound commitment to making a difference in the lives of those in need, guided by the...
Dedicated to improving health care outcomes and longevity At HomeWell, we address the immediate needs of clients while anticipating future challenges to bolster and protect their well-being as they age. We are dedicated...
Luthas Heath Care is dedicated to providing compassionate and professional home care services to seniors and individuals with disabilities. We understand the importance of independence and aim to support our clients in...
Roxsom Home Care, Llc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Luthas Heath Care is dedicated to providing compassionate and professional home care services to seniors and individuals with disabilities. We understand the importance of independence and aim to support our clients in...
Foundational Health Home Care provides quality, non-medical in-home care services for individuals with a variety of disabilities, conditions, injuries, and levels of mobility. We strive to not only meet but exceed the...
Always Here Home Care is the premier, non-medical, in-home care provider in the Boston area.Client chooses caregiverClient determines extent and timing of services (mornings, afternoons, evenings, live-in, etc.)Free...
Independence Home Care, Inc. was founded in order to provide non-medical senior home care services to the eastern Massachusetts region, and maintains locations in Boston, MA, Burlington, MA, Framingham, MA, and Duxbury,...
Mavencare was conceived after the founders each experienced similar challenges finding and managing quality home care for their grandparents. Collectively, the team decided there had to be a better way. Using their...
Laboure Center Vns is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Art of Care Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ryben Staffing is all about people. Making our clients succeed is our core passion, which we achieve by providing the best candidates. Making our candidates succeed by continously providing them with the best resources is...
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,...
Suburban Home Health Care, Inc is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Luthas Heath Care is dedicated to providing compassionate and professional home care services to seniors and individuals with disabilities. We understand the importance of independence and aim to support our clients in...
Boston Senior Home Care is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Uphams Home Health Care is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Season Home Care, LLC is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
North River Home Care’s highly experienced and dedicated care staff serves clients with a variety of needs to help your loved one remain at home, including: Personal & Companionship Care, Respite Care and Alzheimer’s and...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Boston, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Helpers Home Care understands the importance of personalized care for your loved ones. Our trained and compassionate Caregivers provide assistance with daily tasks such as dressing, hygiene, and meal preparation. In...
FirstLight Home Care of Boston Northwest provides private home care services that allow seniors and other adults to receive the support they deserve in a comfortable, familiar setting. To learn how a compassionate in-home...
Your Extended Family When Family Can’t Be There At Home Helpers Home Care, we’re here to do exactly what our name says: help. We’re more than an in-home health care agency – we’re your extended family when family can’t...
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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.