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:
Sensitive Home Care Agency Inc is a provider, proudly serving families throughout Georgia with compassionate, personalized, and dependable care services. We are dedicated to helping seniors and individuals maintain their...
Home Instead Kennesaw has been providing extensive in-home care services in the Atlanta area for over 15 years. Home Instead can tailor a home care arrangement to fit both your family's lifestyle and budget.
Charlotte Web Private Home Care, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amada Senior Care of Marietta provides thoughtful in home care that helps seniors remain comfortable and independent where they feel most at ease. Caregivers offer support with daily activities companionship memory care...
Since 2002, Senior Helpers has been a national leader in professional in-home care services. With a vision to help seniors remain in their homes despite age-related changes and chronic medical conditions, we have now...
Cornerstone Caregiving is proud to serve Woodstock and its surrounding areas, offering exceptional in-home care services. Our caregivers take the time to get to know each client individually, providing personalized care...
Senior Solutions is a non-medical comprehensive home care agency that trains caregivers who assist our clients with activities of daily living in their own homes. In recent years, we have also added service lines to help...
GRISWOLD SPECIAL CARE The World’s Oldest Multinational Non-medical Homecare Company Trusted Homecare at Affordable Rates GRISWOLD SPECIAL CARE refers Caregivers who provide companionship, homemaking, and personal...
Quality in-home care because life happens at home. We know there’s no place like home. That’s why we bring the highest quality of care right to your front door. With a personalized care management approach and a...
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 and comfort of their...
Why do people need in-home care? Perhaps an elderly loved one needs help doing chores around the house or running errands, or maybe a degenerative disease like ALS or dementia has made it difficult for them to complete...
FirstLight Home Care of Mableton’s in-home care services provide the daily support adults need to live a life of dignity with as much independence as possible in Mableton, Marietta, Powder Springs, Kennesaw and the...
At Cody Comfort Care, our journey began with a simple yet powerful mission—to provide compassionate, high-quality home care that empowers individuals to live safely and comfortably in their own homes. Founded with a deep...
Quality, trust and compassion are the foundations of 4 Seasons Home Care. Owned and operated by a registered nurse, our caregivers enhance the lives of seniors across the Atlanta area.
Angel Home Health Care is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Encore Medical In Home Nursing Care is devoted to enhancing the quality of life by delivering compassionate services to all of our clients and consumers by providing skilled and non-medical care at home from our highly...
At Bright Rose Home Care, we serve clients in many counties in Atlanta, Georgia and surrounding areas. We are a non-discrimination organization that seeks to assist your loved ones at home, and is committed to delivering...
Beetee Homecare Services LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Diamond House Corporation, our mission is to provide transformative support, stability, and opportunities for individuals and families striving to rebuild their lives and reach their fullest potential. We are committed...
At Freeman Home Care Agency LLC, we cater to all individuals requiring frequent light duty and companionship assistance. At-home care may be a great option for geriatric, cancer, maternal, and post-operative patients who...
Camellia Home Health is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
duplicate BLOSSOM HOME CARE, LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ElderCare Companions provide the highest quality personal care for elderly and disabled adults where their quality of life is enhanced while minimizing the change of their daily routine and focusing on their safety and...
Accessible Healthcare is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Butterfly Home Care - North Metro Atlanta is a provider, proudly serving families throughout Georgia with compassionate, personalized, and dependable care services. We are dedicated to helping seniors and individuals...
Firstline Homecare & Medical Services is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
dupeSeniors Helping Seniors - North Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We Are Raising the Bar for Quality Care Full Heart Home Care delivers exceptional companion and personal care services for discerning clients and their families.
At the heart of exceptional home care are exceptional care professionals. We take pride in ensuring that only the most skilled, compassionate, and dedicated staff are entrusted to care for you or your loved one in the...
At BrightStar Care of Marietta, we believe in giving more. Not only to the people we serve, but also to our community. We do it through a variety of high-quality, compassionate care and unparalleled support for our local...
Rooted in Family. Driven by Purpose. GoldenPeach Companions was founded by U.S. military veteran Carl Brewer with one goal in mind: to deliver the kind of care every family deserves. Inspired by his own experiences, Carl...
Certified Home Care of Georgia is locally owned and headquartered in Lawrenceville Georgia. We are licensed by the Department of Community Health and accredited by the Better Business Bureau. We have been providing care...
Bee Kind Private Home Care is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
C & C Healthcare Services, Inc. is a trusted home care provider based in Marietta, Georgia, delivering compassionate, personalized care to clients of all ages. With a skilled team of nurses, CNAs, and aides, they offer...
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...
Commonwealth Private Care is a premier provider of personalized healthcare services, offering high-quality, compassionate care tailored to the unique needs of each individual.
Docs Healthcare of North Georgia is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
AUC CARE is a trusted in home care agency dedicated to providing high-quality, compassionate, and personalized care for individuals in need of assistance with daily living.
Fran's Hands was created in memory of Frances "Fran" Blue, my first client and grandmother. Providing her care shortly before her passing away was most fulfilling and ignited my passion for senior care. Fran's Hands aims...
Asap Healthcare Network is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Abba Health Services - Marietta, GA is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Homecare Solutions LLC is a home care provider that services in Marietta, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
ATC Healthcare has over 30 years of experience, and we are here in the greater Atlanta area to help you find the right healthcare staff. We provide a professional recruitment staff with years of experience in the...
At Senior Helpers Marietta, we provide compassionate, personalized in-home care to help seniors live safely and comfortably where they belong—at home. Locally owned and deeply rooted in the Marietta and Kennesaw...
HomeWell is more than just a home care business; we are a community of passionate care management professionals and dedicated caregivers who believe in the power of care at home. Our team is comprised of kindhearted,...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Atlanta or in surrounding areas.
Bridgewell Homecare Services LLC provides a range of home care services to assist individuals with daily living activities. The company's offerings include homemaker services such as laundry, meal preparation, and...
Acti-Kare of Marietta, GA is a home care provider that services Woodstock, GA 30189. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with personal care and...
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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.