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:
Personalized support for families in Sugarland and the Greater Houston area. We bring professional medical-adjacent care and warm companionship directly to your doorstep.
KinDa Care Home Health provides a wide range of services tailored to meet the unique needs of our clients, ensuring our client receive compassionate professional kinder care they deserve to live comfortably at home.
At Shepherd’s Touch Home Care LLC, we believe compassionate care feels like a guiding hand. Our caring caregivers provide warm, individualized assistance—from daily living support to soothing companionship and...
At CHRISTY GRACE HEALTH CENTER INC, we focus on providing the highest standards of clinical care with compassion. We offer a variety of comprehensive healthcare services in the comfort of our clients’ homes. We provide...
Grannys Helping Hand LLC is a home care agency based in Rosenberg Texas that provides non medical in home support services for seniors and adults who need assistance with daily living. The agency focuses on helping...
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 Sugar Land / Katy, TX area, please...
Happier at Home is the perfect solution for seniors that need support to maintain independence in their place of residence, no matter where they call home. We are dedicated to improving the lives of our clients by...
We take pride in serving Cypress, TX and its surrounding areas. Our dedicated caregivers not only provide exceptional in-home care services, but also create meaningful connections by learning their preferences and...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable in Katy, Houston, and surrounding areas. Our trusted Katy staff can’t wait to meet your loved one. We want to know...
At Griswold Home Care of West Houston, we know how hard it can be to care for aging and/or disabled family members. With our assistance, you will not have to do everything alone. With empathy and compassion, our...
At Griswold Home Care for Richmond & Rosenberg, serving the Fort Bend County area, we offer compassionate in-home care for those who want support to live where they love. We are an award-winning pioneer in the non-medical...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
Senior Helpers of North Houston advocates for high-quality senior care. We deliver customized, dependable, and affordable care to help provide a high quality life for our clients and their families.
GT HOMECARE INC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MATDELIN HEALTHCARE SERVICES L L C is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CareBuilders At Home of Katy is a trustworthy, home care solution for you. All of our team members are drug screened and background checked prior to providing services for your loved one. We also provide continuing...
Texas Home Care & Associates is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Hug Away Healthcare Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Eprimetec Health Services is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Mana Homehealth Agency Llc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
MAJESTY HOME CARE LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Providing 24/7 Compassionate Caregivers in Houston and Surrounding areas. We serve all neighborhoods and nearby towns including: Katy, Pearland, Spring, Tomball, Humble, Galveston, Conroe, Hunstville, and more.
Adonai Home Healthcare LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ND HEALTHCARE SERVICES INC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SJC Home Health Care, Inc. is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Royal Caregivers - Katy, TX is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
You deserve to have the highest level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are here to provide you with home care services that are specifically structured to...
Memorial Home Healthcare Incorporated is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Standard Care Homes is a home care provider that services Katy, TX 77449. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and other daily...
Sunshiny Days offers a unique combination of non-medical care and community-based social services to senior citizens or adults with disabilities needing care at their home, either temporarily or long-term. Market research...
SIMPLY US CARE LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Matsan Health Services is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Truly Patience Home Care LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
PJ CARES HEALTHCARE is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Lala Comfort Healthcare Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Miracle Nurses Healthcare Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurse Next Door’s mission is to make lives better every day. It starts with a team of compassionate, dedicated, and caring staff who are passionate about making a difference. We always hear amazing stories from clients...
Texas Care Community provides an exceptional assisted or independent living lifestyle through a dedicated and compassionate team, innovative Communities and enriched services that promote dignity, choice, and independence.
Nelo Health Care Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Advanced Community Support LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jacques Healthcare Services Llc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Your Quality Rehab Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We’re Adam and Genie Hopkins, the local owners of Home Helpers of Greater Katy. And we understand what you’re going through. We watched our own loved ones face the same challenges when doing their best to care for our...
D Life Healthcare Services Inc is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ameck Healthcare LLC is a home care provider that services in Katy, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
We proudly provide non-medical home care services to individuals with disabilities, injuries, difficulties with mobility, or illnesses. We are composed of highly trained and competent staff members who are dedicated and...
A Life Saver Home Care offers cost-effective care in the comfort of your own home. We provide empathetic, skilled caregivers directly to your loved one's home or hospital. Our goal is to help your family member age in...
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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.