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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:
2nd Family in Marietta offers in home care that feels personal, not transactional. Their caregivers support daily needs like personal care, meals, and transportation while building real relationships along the way. With...
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...
Our team of experienced caregivers is committed to understanding and addressing the unique needs of each client, ensuring that they receive the best possible care tailored to their individual circumstances. As one of the...
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...
Right at Home is North Atlanta's trusted quality in-home senior care provider. We create custom care plans as needs change to allow your family members to live at home as long as possible.
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...
Home Care & Senior Assistance Services for Every Need in North Atlanta & Marietta Qualicare North Atlanta & Marietta is your family’s partner for personalized home care.
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.
At Beteli Care Services LLC 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 and...
Welcome to Flamede health! We provide efficient, effective, comforting and loving short-term and long-term in-home care. We are here to care for the needs of your loved ones from Pediatric to elderly & disabled. We...
Carehaven Healthcare provides compassionate, dependable in-home support that helps clients live safely, comfortably, and independently. Caregivers deliver personalized daily assistance and warm companionship—giving...
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...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
Maurina Homecare Agency was founded by a Family Nurse Practitioner and a military servicing member. Having worked in the healthcare field, I have witnessed the essence of providing high-standard care in the comfort of...
At Doctor Bird Home Care, we provide compassionate, non- medical support that helps clients feel comfortable and cared for in the place they love most – their home.
FirstLight Home Care of Sandy Springs offers in home support that blends into daily life instead of disrupting it. From personal care and household help to companionship and dementia support, their team focuses on making...
For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
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...
Alex Comfort Living LLC, Compassionate In-Home Care Services At Alex Comfort Living LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and independence....
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...
At Clear Care, we provide more than home care—we offer peace of mind. We are a licensed, full-service home care agency serving individuals across every stage of recovery and independence. Whether you're a senior...
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...
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.
We prioritize dignity, independence, and quality of life, ensuring that every individual receives the best possible care in a safe and supportive environment.
Attentive Care provides Personal Care Assistance for Independent Living. We at Attentive Care take the time to learn about your needs and interests. We offer a variety of services intended to ensure your comfort. Our...
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...
Amada Senior Care of North Atlanta - Marietta, GA - Duplicate 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...
ComForCare Home Care of Cobb County 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...
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...
For over 30 years, Griswold Home Care has been referring the best Caregivers. We only refer Professional Caregivers that pass our stringent “CareAssure Screening System”. For your peace of mind, all of our Caregivers have...
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...
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...
Personal Care Assistance for activities of daily living (ADLs) so that you can feel more independent at home.Companion Care Individuals without a strong support system can create an everlasting bond with our...
DUPE _ BrightStar Care of Sandy Springs, 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...
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...
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...
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...
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...
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...
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...
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.
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...
Nurtura Healthcare is a family-owned home health agency in Atlanta, Georgia providing compassionate in-home support for children and adults. Services include personal care assistance, respite care, and skilled support,...
With extensive clinical healthcare experience, we offer levels of service ranging from sending certified nurse aides to nursing functions that are performed under doctor orders. Our agency is clinician-owned, and whatever...
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...
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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.