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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:
Senior Helpers of Central Houston is the premier provider of in-home senior care in the Houston area. Knowing your loved one is happy, safe and cared for is your priority … and ours too. Our wide range of services ensures...
William Long, owner of Amada Senior Care Clear Lake, has made it his personal mission to help the seniors in our community live safer and more enjoyable lives. According to William, “I believe that each of our elders has...
Our team recognizes the complexities of the challenges that come with aging. For this reason, Cornerstone is proud to offer personalized care that’s within reach. You can start right away with a phone call to your local...
Home Instead provides companionship services, personal care and other practical support services for seniors in the Southeast Houston area. Our CAREGivers deliver at home individualized senior care with compassion because...
One You Love Homecare of North, South, and West Houston proudly serves the seniors across Houston, including Sugar Land, Missouri City, Katy, Richmond, Fulshear, Cypress, Spring, The Woodlands, Fresno, Pearland,...
Our primary objective is to bring more enjoyment to the lives of those who find it increasingly difficult to function well on their own. We remove the burden of stress from both the person needing assistance, as well as...
SITTING SAINTS LLC is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our caregivers are happy to assist your loved one with all types of daily living activities. They can prepare nutritious meals, shop for groceries, help with light housekeeping, ensure medications are taken properly, aid...
Always Best Care Senior Services in Friendswood/League City provides compassionate, non-medical in-home care tailored to meet the unique needs of seniors. Our services include personal care, companionship, and assistance...
Serenity Home Care Agency is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring for a family member can be challenging. We know. We've been there. At BrightStar Care, we strive to deliver just the right care for your loved one to be safe and healthy and to be a partner you can turn to for...
City Crown Home Health Agency Inc is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To be the most trusted provider of compassionate, personalized home care that empowers individuals to live safely, independently, and with dignity in the comfort of their own homes.
Residential Home Health Services Llc is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Apostle Home Health Care Pllc is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Right at Home - Houston Bay, TX is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Living Hope Home Healthcare is a home care provider that services in Friendswood, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Assisting Hands' trained dependable caregivers and personal assistants provide professional in-home care services to residents in Brazoria and Galveston counties. We provide companionship, meal prep, medication reminders...
Griswold Home Care SE Houston brings 40+ years of trusted, 5-star rated service. We offer RN-led assessments, no hourly minimums, and award-winning support. As a VA-approved national provider, we’re proud to serve...
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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.