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.
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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:
At SYNERGY HomeCare, we build connections and forward momentum in people’s lives. We call it the Synergy Effect. We believe our purpose is to provide the best care possible. Equally important is helping people feel, see...
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...
We are committed to quality home health care for our clients through professional caregivers, a thorough plan of care, and superior execution of our services.
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Senior care services from Home Instead® help to enhance the aging experience by providing practical support at home with a human touch. Our professional caregivers immerse themselves into wherever home is to assist with...
Capital City Nurses - Columbia is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Prime Placement of Baltimore, Compassionate In-Home Care Services At The Prime Placement of Baltimore, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity,...
Experience a happier, healthier life at home. We know there’s no place like home. That’s why HomeWell brings you the highest quality of care so you can maintain your independence and experience life to the fullest.
A Place At Home is a company that focuses on providing personalized, compassionate care for seniors, offering services such as in-home care, assisted living, and memory care. With a mission to help older adults live...
2nd Family - Eldersburg is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Mon's Homecare, we believe that compassionate care begins at home. Our experienced caregivers provide personalized assistance with daily activities, companionship, and specialized support, ensuring each client...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
To be the most trusted residential service agency in Maryland — known for enhancing quality of life, promoting independence, and creating meaningful connections.
Friends2Family Homecare Support is a trusted home health aide agency located in Owings Mills, Maryland, dedicated to providing compassionate and high-quality care for seniors and individuals with disabilities.
Trinity Health Care Services Corporation is a trusted provider of compassionate and professional home care services dedicated to enhancing the quality of life for individuals and families in need. Founded on the...
Home With You Senior Care is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation,...
Community Home Health of MD is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CMAG Health Solutions, LLC is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Celtic Healthcare is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
The Ultimate Healthcare Services, LLC is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Treasured Home Residential Agency is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Carol Care Home Health Services is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Why choose Holistic Homecare Services for your home care services? Our highly trained team will provide your loved one with specialized care when it’s most needed. Our team is dependable and reliable. Holistic Homecare...
Welcome to Damilamos LLC, your trusted partner in non-medical home health care services based in Owings Mills, Maryland. At Damilamos LLC, we specialize in providing compassionate and reliable care for individuals in the...
Angels Companionship Care, Llc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
For over 50 years, Interim HealthCare has been personalizing care to meet the unique health needs of our clients, patients, and medical staffing partners. Pioneers in personalized home healthcare, Interim HealthCare is...
Quality Home Care Services by Arete Home Health Care Exceptional Care, Right at Your Doorstep in Maryland Experience unparalleled professional home care with Arete Home Health Care, a leading local home care agency in...
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Our Fortress Home Care, Inc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
America Health First, Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nikittas Resource Center LLC is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Gilmo Residential Services, LLC is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Glorious Healthcare Inc. is a pioneering healthcare organization committed to delivering exceptional medical care across a broad spectrum of specialties. We offer a comprehensive range of services, including primary care,...
Providing high-quality healthcare services is our topmost commitment. IDEAL CARE SUPPORTS INC. is a licensed, certified, and bonded healthcare provider in Maryland. We take pride in rendering the best set of services to...
Compassionate Comfort, L.L.C. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Angels Health Services is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Maryland Private Care is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Christadel Healthcare Services Inc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Are you looking for a healthcare professional to care for a loved one or to fill in the vacant positions in your facility? BZED Home Healthcare and Staffing provides both home health care and healthcare staffing in Owings...
Home is Where the Heart Is! ABIC HEALTHCARE SERVICES INC is fully committed to rendering personal care and skilled nursing services to its clients in the comfort of their homes or wherever they call home. The team...
Caring Heart Private Duty Services Llc is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At West Pointe Healthcare, we are dedicated to ensuring that you are placed in the perfect role that aligns with your skills and preferences. With our wide offering of permanent and locum roles across the entire health...
Covenant Care Nursing Services, Inc. is a home care provider that services in Owings Mills, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance 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...
Complete Home Care was established in order to assist you or your loved one overcome any burden. As a local Residential Services Agency, we pride ourselves on offering the most comprehensive home care services.
We at Griswold Home Care Referral Service realize that every home-care situation is unique and that having the correct type and amount of care for your loved one is what provides our clients with peace of mind. Whether it...
We are a family-based residential service agency providing safe, respectful, and dignified non-medical home health care to veterans and adults of all ages throughout Baltimore, Carroll, and Howard counties.
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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.