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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 The Chosen Personal Services, our mission is to serve all people with compassion, respect, and excellence, guided by the principles of faith, love, and integrity. We are dedicated to providing personalized care that...
Our vision is to create a community where every individual feels valued, supported and cared for as they age gracefully in their own homes. We strive to be the trusted partner for families, setting the standard for...
Harmony Care Home Care Agency is a compassionate and reliable provider of in-home care services designed to support individuals who wish to maintain their independence and quality of life in the comfort of their own homes.
Golden Heart Senior Care offers the highest quality companion care, home care services and personal care services so our clients can live a full and independent life in the comfort of their home.
Care When and Where It’s Needed Our home care services are available 24 hours a day, 7 days a week, 365 days a year, so you know your loved one’s needs are always being met. We offer care when and where it’s needed,...
SYNERGY HomeCare of Northern Indianapolis is owned and operated by Trent Terry, a Master’s graduate in Business Administration who has since put his degree to use in multiple successful entrepreneurial ventures, ranging...
Optima Care Services in Indiana is dedicated to delivering compassionate, dependable in-home care that helps individuals live safely and comfortably where they matter most—at home. With a personalized approach, their team...
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
At Home is Where The Heart Is Homecare 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...
Aken Home Care Services Indianapolis Aken Home Care, Indianapolis home care services agency provides Reliable and Quality non medical in-home care services in Indianapolis, Zionsville, Carmel, Fishers, Avon, Noblesville,...
Our philosophy at Wise Home Care is to provide the quality of care that we would want for our loved ones. Home care is a sincere appreciation of and for the people we serve. We invite you to call us to discuss how Wise...
Mary's Precious Care LLC, Compassionate In-Home Care Services At Mary's Precious Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
DM Unlimited Living Care Agency is dedicated to providing compassionate, reliable in-home care that helps individuals maintain independence and dignity in the comfort of their own homes. Their team offers personalized...
We’re intentionally different. We set the benchmark for excellent home care by balancing our friendly nature, person-centered approach, and discreet services with our love of helping you maintain your independence. It’s...
Nautical Home Care provides dependable, compassionate in-home support that helps clients live safely and independently. Caregivers deliver personalized daily assistance and meaningful companionship—guiding clients with...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
We Adore You Home Care LLC provides compassionate, reliable non-medical home care services to individuals and families in Indianapolis, Indiana. We are committed to promoting independence, dignity, and comfort through...
To be Indiana’s most trusted home care provider, delivering compassionate, personalized support that empowers individuals to live with dignity, independence, and enhanced quality of life in the comfort of their own homes.
We’re always there when you need us – ready to provide care in all ways. When faced with the decision to provide care, you need a trusted partner. One who has the knowledge gained from years of providing quality home care...
"A Safe Haven Homecare Services: Your trusted refuge for personalized, compassionate care. Dedicated to enhancing quality of life and providing a safe haven for seniors in the comfort of their own homes."
At Glory Hands Personal Home Care, we offer compassionate and personalized homecare services. Our dedicated team is committed to enhancing the quality of life for those we serve. We hold their hands, you hold their hearts.
BrightStar Care offers a wide variety of high-quality services—from in-home care to medical staffing. If you are looking for a trustworthy care provider or staffing partner in the Indianapolis NW, IN area, please contact...
Humble Hearts Home Care provides compassionate, non-medical in-home care designed to support seniors and adults who want to remain safe and comfortable at home.
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...
ACE HOME CARE LLC is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cardinal Home Services is a trusted home health agency based in Indianapolis, Indiana, dedicated to delivering exceptional, compassionate care tailored to each individual's needs. Our mission is to enhance the quality of...
Northside Home Care is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
Living Better is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gentle Home Personal Care in Indianapolis offers compassionate in-home assistance, tailored to each client's unique needs, ensuring comfort and independence. Our dedicated caregivers provide a nurturing environment,...
At Heartfelt Companion Care LLC, we provide top-notch senior care services. Our caregivers are well trained and we ensure that we foster genuine and compassionate connections. We go beyond conventional care and provide...
DUPLICATE****FirstLight Home Care of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Care & Companionship Home Services LLC of Carmel, IN is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nestled in the heart of Indiana, Supporting Angels Homecare proudly serves as a cornerstone of compassionate care and support for seniors and their families throughout the region. With a deep understanding of the unique...
Agency Description Kindness Care Solutions, Compassionate In-Home Care Services At Kindness Care Solutions, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort,...
Nightingale Home Healthcare Inc is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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.
Passionate Gifted Angels Homecare LLC delivers compassionate and personalized in-home care services. Our skilled caregivers assist with daily tasks, providing comfort, safety, and independence. We are committed to...
K&R Glowing Pride Residential Services founded in the year of 2018. operated by Keyana Rice whom worked patient care for the past 17 years. Graduate with honors in Health Science. K&R was established with hope and faith...
Elroi Care Home LLC offers professional support services that allow individuals to live safely and comfortably in their homes regardless of age, physical, medical or emotional conditions.
FirstLight Home Care of Northern Indianapolis & Suburbs is here to provide companion care and personal care assistance. Our home care and elderly caregiver services are available for elderly individuals, new moms, those...
LIVE LONG WELL CARE LLC is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LUXURYTIME PERSONAL CARE LLC is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Northside Home Care is a home care provider that services in Carmel, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers Indianapolis helps families navigate the full continuum of senior care. Our in-home aides allow seniors to receive the day-to-day help with personal care they need and assistance with activities of daily...
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
Our mission at Yay Bella Homecare Agency is to provide exceptional non-medical in-home care services that promote independence, dignity, and quality of life for our clients. We are dedicated to delivering compassionate...
At Right Touch Care, all our caregivers are thoroughly background-checked and trained to ensure they provide compassionate home care and personalized care services, delivering safe and reliable support to clients,...
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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.