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:
TRUE2YOU HOME CARE LLC offers personalized, non-medical in-home care to enhance the quality of life for seniors and individuals with disabilities. Our services include personal care, companionship, light housekeeping, and...
At Prestige Loving Home Care, we are committed to delivering exceptional service to your loved ones. With a dedication to personalized care, we ensure every client experiences comfort and peace in their home and lives an...
Changing Lives Home Care provides compassionate, tailored in-home care for seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and companionship,...
At Vesta Structured Family Care, we extend beyond traditional care services; our foundation is built on compassion and a personalized approach to support. We are passionately focused on serving seniors, driven by a...
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,...
Dellavenias Home Care LLC is a dedicated provider of non-medical home care services, committed to enhancing the quality of life for seniors, individuals with disabilities, and those recovering from illness or surgery. Our...
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...
Owsley Homecare Services, LLC is a homecare provider specializing in offering personalized, in-home care to individuals who require assistance with daily living activities.
Highland Community Bridge offers personalized in-home care services for seniors and individuals with disabilities. Our compassionate caregivers provide assistance with daily tasks, medical support, and companionship,...
Of Excellence and Love LLC is a distinguished provider of compassionate and personalized home care services, committed to enhancing the lives of individuals who require support with daily living activities while...
Infinite Loving Hands is a Licensed provider of the State of Indiana certified to accept Medicaid Waiver services Statewide. Infinite Loving Hands is BBB-certified with an A- rating and five-star reviews on Google.
Arbor Village Services LLC is a dedicated home care agency specializing in providing high-quality, personalized care services to individuals in the comfort of their own homes.
Unconditional Love Caregivers LLC in Indianapolis, IN, offers compassionate, personalized home care services designed to enhance the well-being and independence of individuals in the comfort of their own homes.
Saved By Grace Home Care LLC is a leading provider of personalized home care services, offering compassionate assistance and support to individuals in the comfort of their own homes. Rooted in the values of empathy,...
Gratitude Home Services is likely a home care provider committed to delivering personalized, compassionate care to individuals in the comfort of their homes. Their focus is on supporting clients' independence, health, and...
BC Loving Touch Homecare LLC is likely a homecare service provider, which typically offers assistance to elderly individuals or those with disabilities who need support with daily activities in their own homes.
At Amada Senior Care of Greater Indianapolis, our goal is to walk with seniors and their loved ones through every step of their senior care journey. They are committed to preserving dignity and giving families the peace...
I wanted to take a moment to explain why I believe my business is highly qualified to be your private non-medical home health agency. We specialize in providing personalized care that helps seniors and individuals with...
When you have an aging family member in Greenwood, IN who may benefit from senior care, Senior Helpers Greenwood is here to help. At Senior Helpers of Greenwood, we offer comprehensive care, and can tailor a package that...
Elaine's True Companions provides compassionate in-home care tailored to the needs of seniors and individuals with disabilities. Our dedicated caregivers offer assistance with daily tasks, medical support, and heartfelt...
Renee’s Helping Hands is a home care and companionship service provider based in Indianapolis, Indiana. We have more than 21 years of collective experience, providing loving and genuine care to people who need assistance...
Ablessing Home Care Services is a leading home care provider in Indianapolis, dedicated to delivering exceptional and personalized care to individuals in the comfort of their own homes. Our team of skilled professionals...
Welcome to Reason To Love Home Care Agency LLC, your go-to home care services provider in Indianapolis who are looking for comfort and peace of mind. We provide a range of services tailored to meet the specific needs of...
At TMC Homecare, LLC, our mission is to deliver exceptional, compassionate homecare services that promote the health, independence, and dignity of our clients.
Our mission is to provide you with the finest quality in non-medical in-home support and care. We strive to serve the people in our communities by affirming life and the dignity of our patients with a variety of services....
Circle City Companions LLC is a business offering specialized services related to pet care, particularly companionship and care for pets in the Indianapolis area.
Believers Home Care LLC is a home care agency dedicated to providing high-quality, personalized care services to individuals who need assistance with daily living activities.
Choose Angel Home Care Services LLC for unparalleled compassion, professionalism, and dedication in caregiving. Serving the Indianapolis community, we prioritize personalized care plans, ensuring your loved ones receive...
Annie Home Care Services LLC is a home care provider that services in Camby, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Heebee Homecare Agency - Camby Office is a home care provider that services in Camby, IN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Sent from Haven Personal Care is a full service agency with 24/7 availability. We know life doesn't happen only from 9-5 and we are here to help you no matter the time.
CORNERSTONE CAREGIVING IN INDIANAPOLIS, INDIANA We are a senior home care service that allows your loved ones to stay where they feel most comfortable: at their home in Indianapolis or in surrounding areas like...
We Love Caring Home Care has built a reputation on providing our clients with compassionate care and providing extraordinary services. We Love Caring Home Care has been started by a Registered Nurse with over 20...
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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.