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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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
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Our office is co-owned and operated by Paul and Laurie Barthol, and Tanya and Jeff Ferber. At Senior Helpers South Minneapolis our primary goal is to help provide a high quality of life for our clients and their families,...
At Senior Helpers, we are here to help anyway we can to help you or your loved one live safely at home. Our caregivers receive the highest quality training through online education, hands-on practice in our Center of...
At Heart of a Star Home Care, we are dedicated to providing compassionate and personalized home care services to the Minneapolis community. Our team is here to support you or your loved one with a range of services...
At FirstLight Home Care of Saint Paul, we provide exceptional care so that your loved one has the support they need to enjoy the quality of life they deserve in the place they call home. We exist to help people have...
Peace At Home Healthcare and our staff, provide a "personal centered" approach for the best care of our clients! From the warmth of our reception in the initial call requesting to arrange our comprehensive In Home...
Sheltering Arms is your dedicated partner in non-medical in-home care services throughout Edina and the surrounding communities. With a heartfelt commitment to enhancing quality of life and promoting independence, we...
Caring With Compassion at HealWell Home Health Agency, Healing With Excellence Professional medical services are right at your doorstep, ensuring personalized care and comfort in the familiar surroundings of your home.
Amazing Care Agency LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We believe that the home care experience is much more than what we do – it’s how we make you feel. That’s an important distinction to make and we believe it’s what sets us apart. We know that the value of an experience...
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...
Our Philosophy At Armatage, we believe that every individual deserves to receive high-quality, compassionate home health care. We are committed to treating our clients with respect, dignity, and kindness, and to helping...
Best Care Home Health Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
COMPANIONSHIP PLUS is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Around the Clock Home Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our experienced and compassionate caregivers and nurses at BrightStar® Home Care St. Paul provide everything from companionship and routine personal care to in-home medical services like wound care, home infusion therapy...
Bristol Place Home Health Serv is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We provide elder care, adult home care, child care, and medical staffing in the South Minneapolis Metro area. At BrightStar Care of South Minneapolis Metro, we believe that caring is more than just a job– it’s a way of...
We are a fully comprehensive home care agency providing care for individuals in their own home. Our services range form companions to nursing, including house hold cleaning. Adult Help and Companion Care can provide care...
Care Plus Home Health Agency is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
1ST ATTENTIVE SERVICES LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comprehensive Home Care, Inc. is a Minnesota Class A licensed home care provider accepting Private Pay and Long Term Care Insurance. We are dedicated to providing the highest quality multidisciplinary home care to our...
All Homecaring is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
With our passionate, dedicated and loving team of professional care providers, Agape HealthCare’s goal is to be the one-stop shop for all healthcare needs. Agape will be an influential and forward-thinking home healthcare...
Cornerstone Caregiving is proud to serve Minneapolis and neighboring commiunities by offering exceptional in-home care services that cater to each client’s individual needs. Our caregivers not only assist with daily...
Covenant Home Health Care LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amada Senior Care of Southwest Twin Cities, MN is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CareMinders Home Care is a local owner operated home care company serving hourly clients in all Minneapolis suburbs and live-in clients in the 7 county Twin Cities area. We provide the highest quality service to our...
Bell Medical Services Inc. is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Ambassador Good Sam H C 3400 is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cornerstone Home Health Care is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Greg Getchell and Joe Castle, owners of Amada Senior Care Twin Cities, have learned through their professional healthcare careers as well as their personal experiences that it can be incredibly difficult to find quality,...
Baywood Home Care of Minneapolis, MN is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At CareMinders® Home Care, our goal is to exceed the expectations of clients and their families on a daily basis, after all . . . “Your Comfort is Our Responsibility” We offer a wide range of both long and short term...
Aseracare Home Health is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Accel Health Services Inc is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
American United Care,LLC “Caring is our passion” About American United Care We are people centered home health care agency licensed by the state of Minnesota. We are committed to providing high quality care and customer...
Things change as we age, but leaving the comfort and security of home doesn’t have to be one of those things. Needing a little help as you age is normal, and our professional caregivers make sure you have all the help you...
Comprehensive Home Care, Inc. is a Minnesota Class A licensed home care provider accepting Private Pay and Long Term Care Insurance. We are dedicated to providing the highest quality multidisciplinary home care to our...
American Guardian Angels Services is an American Home Care company dedicated to providing compassionate and personalized home health care aid to individuals in need. Our mission is to enhance the quality of life for our...
Carefocus Corporation is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Angel Assist Care Services LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CAREMARK HOME HEALTH CARE LLC is a home care provider that services in Minneapolis, MN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At HomeWell Care Services we provide live-in and hourly home care for seniors and others who are struggling to manage day-to-day activities like grooming, bathing, cooking, or even running errands. Our knowledgeable Care...
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...
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...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Senior Helpers - Roseville is a home care provider that services the North Metro Area in the Twin Cities. Our office is owned and operated by Paul and Laurie Barthol, with 15+ years of hiring family caregivers, are...
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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.