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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.
✔
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 Homewatch CareGivers of Stow-Twinsburg, we believe that care is about more than helping with daily tasks—it’s about creating meaningful connections, supporting independence, and improving quality of life. Our franchise...
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...
Kymco Reliable Home Care is dedicated to delivering dependable, compassionate, and personalized in-home support that helps individuals maintain comfort, independence, and dignity where it matters most—at home. With a...
If you or someone you love needs in-home care or assistance, give us a call at FirstLight Home Care. We provide quality, dependable in-home and elder care services for adults on Cleveland’s west side.
Cornerstone Caregiving is a senior home care provider in Cleveland, Ohio that is trained and ready to help your loved one today. Our leadership team holds decades of at home senior care expertise in the home care...
Everything we do at Infinite Helping Hands, LLC is driven by our universal mission to improve the quality of life for aging adults and support their families in caring for loved ones.
Care Services ComForCare Home Care (Cuyahoga County, OH) There’s no place like home! Most people prefer to stay in the comfort of their own home while they recuperate from an injury or illness, while seniors...
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 through compassionate support,...
Senior Helpers of Greater Cleveland has been caring for seniors throughout Cleveland's West suburbs for over 10 years. We offer tailored services to meet the individual needs of your loved one. Our care services range...
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...
Hummingbird Home Care is a family-owned, independent provider of in-home care in Cleveland, Ohio, dedicated to treating every client with dignity, respect, and compassion. Their personalized approach focuses on helping...
Tailored Support That Feels Like Family Our services are tailored to the individual because no two families are the same. Whether you’re looking for daily support or an elevated level of coordination and reliability,...
Our mission at Cardinal Home Care Services is to enhance the quality of life for our clients by providing compassionate, customized home care solutions. We strive to build trusting relationships with our clients and their...
At FirstLight Home Care of Chardon, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have their...
Touch Of Love LLC is a compassionate home care agency dedicated to supporting seniors and individuals with disabilities in the comfort of their homes. We provide personalized non-medical care tailored to each client’s...
Eldorado Healthcare Management, LLC is a privately owned healthcare services provider based in Cleveland, Ohio. Established in 2017, the company specializes in delivering non-medical in-home support services, including...
Our in-home senior care starts with a clear understanding of who you are and what we can do to make your life a little easier and a little brighter. Whatever services you need and whenever you need them – for yourself...
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...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
VIVIAN HOME HEALTH LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We aim to create a supportive environment where patients and families feel empowered, informed, and confident in the care they receive. With a focus on promoting independence, dignity, and overall health, River Home...
Led by an experienced nurse, our in-home care service provides compassionate, non-medical support to seniors and individuals with disabilities. We offer companionship, meal preparation, light housekeeping, medication...
AMAZING HEARTS HOME CARE AGENCY is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Charm Home Care, we provide compassionate and personalized home care services to individuals in Cleveland and surrounding areas. Our dedicated team of professionals is committed to enhancing the quality of life for our...
At Gibsons Family Homecare LLC, we are dedicated to providing compassionate and comprehensive care to the elderly in our community. Our mission is to create a safe, positive, and nurturing environment where our residents...
Lizzie’s House is a non-medical, senior home care agency specializing in a personalized home care experience. With love and compassion, we eliminate the stress and worry and give you and your loved ones a peace of mind....
Cardinal Home Health, LLC of Cleveland, OH offers compassionate, non-medical in-home care for seniors and adults who need support to live safely and independently at home.
Maria ACES & DAYS HOME HEALTHCARE is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hayer Home Healthcare is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cleveland Coast Home Care Services LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
God Sent Home care offers In-home private duty nurses to assist seniors and the people with disabilities . We offer 24 hour care, seven days a week, including holidays and weekends! We have highly trained staff to help...
Welcome to Best Quality Home Care Agency. Thank you for taking the time to view our website. We are fully committed to providing the services needed to improve our patient’s activities of daily living, lessen the...
Our Story HealthCare Assurance began with a simple mission: to offer reliable and compassionate home care services. Over time, we’ve evolved into a trusted provider of skilled nursing and home care professionals,...
Caring With Care Home Care LLC of Cleveland, OH is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Here at L.H. Homecare, we understand the importance of providing exceptional care services to our clients. Our agency is dedicated to enhancing the quality of life for individuals who require assistance with daily...
Mercy Home Healthcare Care Svc is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
JUST RIGHT NURSING SOLUTIONS, LLC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Companions Care Center is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PRESTIGE HOME HEALTHCARE is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
UNIVERSITY HOSPITALS HOME CARE SERVICES INC is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
M&N Infinity Home Care is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Xcel Healthcare Providers Inc is a home care provider that services in Cleveland, OH. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sheltering Arms Home Health is a home care provider that services in Cleveland, OH. 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 CAREGiversSM immerse themselves into wherever home is to assist with...
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...
Compassionate and dependable home care professional with experience providing high-quality, personalized care in a home setting. Skilled in assisting clients with activities of daily living, including bathing, dressing,...
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 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,...
At Senior Helpers, we are here to help anyway we can, no matter how big or how small the request. Our owners are the husband and wife team of Michael and Lynn Jones. Our team knows these aren't just clients, but cherished...
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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.