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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
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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 American HomeCare.co, we provide tailored care that honors your individual needs and preferences. Serving the Merrimack Valley and its neighboring regions, our services aim to enrich your daily experiences and ensure...
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From nursing homes to in-home healthcare, we offer a comprehensive recruitment plan that truly bridges the gap between prospective professionals and agency or facility managers.
At JJ Homecare & staffing, we are a beacon of compassion and excellence in homecare and staffing solutions. Our journey began with a profound commitment to making a difference in the lives of those in need, guided by the...
At Homily Care Agency, we offer a wide range of health care services for disabled and elderly individuals in the comfort of their own homes. Our dedicated team ensures that our clients receive the best care and attention...
At it’s core, our in-home senior care service is about bringing warmth, friendship, and the highest quality of care right into the comfort of your home. More than just lending a hand, we’re here to share laughs,...
We are a recognized agency providing Home Health Care wherever a client lives in Eastern Massachusetts. We are also Alzheimer's specialists. The service can be a few hours or 24 hours. We offer Live-in, hourly,...
HomeWell Care Services of Andover, MA is a home care provider that services in Woburn, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
About Amada Caregivers 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...
Our Services Essential Home Care Services At DHC Noble Care, we provide personalized, non-medical support designed to meet each client’s unique needs. Our caregivers assist with daily living, companionship, household...
We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Woburn. Our trusted Woburn staff can’t wait to meet your loved one. We want to know how many times...
Health Bridge Home Care in Woburn, MA provides personalized home health care services focused on helping individuals maintain independence and comfort at home with compassionate, client-centered support tailored to each...
We are a family-owned agency that focuses on strengthening the family through caregiving. With the experience we have accumulated through time from the different cases we've faced, we are proud to say that we can satisfy...
To be the leading service provider of home health care and health care personnel staffing services by defining industry quality standards through a cost effective provision of innovative service delivery models, staff...
We are a diverse team of care managers, nurse practitioners (NPs), registered nurses (RNs), licensed practical nurses (LPNs), certified nurse assistants (CNAs), home health aides, companions, and live-in aides. Together,...
Alliance Home Care Visiting Nurse Agency is a home care provider that services in Woburn, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
In-home Care for Seniors, Elderly and Young Adults Judy’s Caregiving Solutions can provide Certified Nurse Assistants (CNAs)/Home Health Aides (HHAs) to care for your loved ones, whether they are seniors or disabled...
To provide services and support that allow our clients to remain as independent as possible in their homes or residences while enabling a quality of life for our clients and their families which cannot be achieved on...
Winchester Home Care is a home care provider that services in Woburn, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Nurses At Home is a home health care agency set out to extend our services to you in order to promote physical, psychological and spiritual well being. Our mission is to work at our best in order to help our patients...
Veteran Serving Veterans Homecare is a veteran-founded and operated agency dedicated to providing compassionate and personalized care to veterans and their families. With a deep understanding of the unique needs of those...
Alliance Home Care Visiting Nurse Agency, Inc. of Woburn, MA is a home care provider that services in Woburn, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or...
No two clients are the same, which means no two care plans should be, either. At M&L Prodigy Healthcare, we offer a wide variety of services so that we can perfectly accommodate the unique needs of each of our clients.
Prestigious Home Care LLC, Compassionate In-Home Care Services At Prestigious Home Care LLC, we are committed to providing high-quality, non-medical in-home care services that prioritize comfort, dignity, and...
At Prime Care Services LLC, we discuss the various options available to better address your needs. We provide unique, affordable and family focused homecare services to people of all ages, ensuring quick recovery and...
We have a professional, process-oriented staff ready to serve our clients and their families. When a prospective client contacts a Senior Helpers office, they set up a complimentary initial assessment at the client’s...
Elderly Caregivers LLC - Connecticut is a home care provider that services in Woburn, MA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Care Services in Your Area Better Home Care in Woburn, MA Whether it’s helping with chores, providing medication reminders, or meal assistance, ComForCare gives you the freedom to focus on spending quality time...
We are committed to providing the highest level of assistance in all aspects of home care whether at home, in an assisted living setting, via Hospice or any other care situations. Associated Home Care is the leading...
For over 20 years Right at Home has provided personalized in-home care and support for seniors with care and compassion. Our caregivers are trained to help with everyday tasks that have become challenging. This may...
Your Extended Family When Family Can’t Be There At Home Helpers Home Care, we’re here to do exactly what our name says: help. We’re more than an in-home health care agency – we’re your extended family when family can’t...
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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.