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 Senior Helpers of East Metro Atlanta, we believe home is where people feel safest, happiest, and most comfortable. Our mission is to help seniors remain independent while providing families with the peace of mind that...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
Home Instead Snellville offers individualized in-home senior care right in your neighborhood. Our trained, screened and bonded CAREGivers are serving Georgia communities with compassion and devotion.
Our in-home care services brighten the lives of seniors who can benefit from a helping hand and a friendly smile. Our caregivers, who are seniors themselves, make your life easier by providing compassionate care in the...
Welcome to SYNERGY HomeCare of Suwanee. Up to 24-hour home care. CARE THAT MOVES YOU. Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with...
Serenity Care Home provides compassionate, personalized in-home care that helps seniors and adults maintain their independence while remaining safe and comfortable in their own homes. Their dedicated caregivers offer...
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...
At CareCo – The Caregiving Company of East Atlanta, our mission is to enrich lives by delivering exceptional, compassionate, and personalized in-home care that empowers individuals to live safely, comfortably, and...
Charlotte Web Private Home Care, LLC is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Homewatch CareGivers of Lawrenceville, GA provides a broad spectrum of in-home care services, from personal care to companionship. Our caregivers are trained to support daily activities such as meal preparation,...
Cornerstone Caregiving stands apart in offering compassionate, authentic assistance for your loved ones. We are senior care professionals with 20+ years of experience in the caregiving field who are willing and ready to...
At BrightStar Care of Lawrenceville, 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...
At Peachcross, we understand that comfort and well-being flourish in a place of familiarity — your home. Based in Georgia, we are dedicated to providing compassionate, personalized, and professional in-home care designed...
Janet McLaren, owner of Amada Senior Care Snellville, views her role as part of a larger commitment to our population of cherished seniors in Greater Snellville and surrounding areas. To Janet, elders create the...
Thrive Home Care was founded to help your loved ones retain their pride, dignity, and independence with our full-service home care. We are dedicated to serving the best quality and most reliable non-medical home care...
AZA HEALTHCARE SERVICES LLC is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Lean On Me Health Care Agency 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...
Being Elderly or having a disability is never a hindrance for you to live your life the way you want. And that’s what we want to show you and your loved ones at Gwen”s #1 Caregiver Services in Snellville, Georgia. We’re...
Cambridge Care LLC - GA is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LEAN ON ME HEALTH CARE AGENCY is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Horizon Care is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We understand that receiving care at home is a personal decision. At Harmony Angels, we’re dedicated to providing compassionate and high-quality care that allows you or your loved one to live life to the fullest, in the...
At Mercy Home Care Services our certified trained home health aides will provide support with activities of daily living. We carefully select the best home senior caregivers to ensure your comfort, convenience, health and...
Hope Private In Home Care is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Chans Heavenly Home Care Services LLC of Ga 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...
ALTERNATIVE HOME CARE FOR SENIORS, INC is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Love Thy Neighbor Home Care, we understand how important it is to receive high-quality service in the comfort of your home. If you are looking for an agency that will provide comprehensive and affordable home health...
With the help of CareMinders® Home Care, you or your loved one can receive needed care and assistance while also being able to enjoy the comfort and stability of home. Our highly trained and certified staff will work...
Premium Nursing Services would like the opportunity to provide care and service to your medical nurse needs. Our professionals will devise a plan of care aimed at promoting independence, no matter what your specific needs...
Devine Mercy Healthcare is a trusted, compassionate home health agency proudly serving communities across Georgia. Committed to delivering high-quality, patient-centered care, we specialize in personalized healthcare...
There's no place like home. And there's no one better to count on to help mom or dad live independently at home than Alternative Home Care for Seniors.
FOCAL CAREGIVING was founded with a passion for providing high-quality home health care services to seniors and individuals with disabilities. Our founder, who has over 20 years of experience in the healthcare industry,...
Our mission is to uphold the highest standards of patient safety while empowering nurses to deliver care with excellence, integrity, and heart. Whether for short-term assistance, long-term support, or specialized medical...
Aachele Home Nursing Services is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
It is with pride that we provide you with experienced and capable staff at Divine Home Care & Staffing Agency. For years, we’ve assembled an efficient team that brings first-rate health services to your homes in...
Richard Senior Care, LLC in Snellville, Georgia is headed by Marjorie Richard. She is currently working as a registered nurse in a hospital. Marjorie has been working in the orthopedic floor for more than 4 years. Since...
Home—there’s no place like it. It’s where your memories are. Where you raised your family and where friends have gathered for life’s celebrations. It’s been your basecamp through good times and bad. And it’s where you...
Our Mission: To provide exceptional home care services that empower individuals to maintain their independence, health, and well-being in the comfort of their own homes. Our Purpose: At MNR Home Care Services, we...
Our Mission At Abena Health Solutions, our mission is to redefine home health care by providing a personalized and intimate approach that truly makes a difference in the lives of our clients. We take immense pride in our...
Providing the Best care with Southern Charm and Hospitality When we take care of your family they become our extended family. We hire the Best Caregivers!!! We are here to take your worries away! We provide...
Julian & Julian Private Home Care is a licensed Private Home Care Agency that provides services for individuals who need care in their homes. We strive to provide outstanding services and go above and beyond. What makes...
Primrose Home Care and Staffing Solutions is a home care provider that services in Snellville, GA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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.
Our Mission Our mission is to enhance the well-being of our clients by delivering the highest standard of personalized, home-based health care. We strive to create a supportive environment where clients can feel safe,...
Welcome to Happy Stages Home Care Agency. Our experienced team of caregivers provide compassionate and high-quality home care services in the comfort and familiarity of you or your loved one's home. We offer comprehensive...
At Gad Health Care, our mission is to provide professional and paraprofessional services to clients in their homes and assisting them to achieve the highest level of potential in their day-to-day self-care activities. We...
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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.