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.*
✔
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:
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.
Bloom Rock Care was founded with a passion for providing high quality in-home care services to seniors and individuals with disabilities. Our founders recognized the need for personalized, compassionate care that is...
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...
Acti-Kare of East Gwinnett, GA provides tier one in-home Personal care. Our trained, insured, and bonded caregivers will provide your loved one with in-home personal care services across a broad range of categories. As we...
Loving, caring, and experienced in providing in-home non-medical care. Dedicated to supporting clients with daily living activities while promoting comfort, dignity, and independence. Compassionate, reliable, and...
Hearts of Love Caregivers helps families with non-medical in home care. We offer in home health care in select locations. With Hearts of Love Caregivers, every client receives extra ordinary care from our caring team. We...
Our team of highly skilled professionals offers a range of services, including medical care, personal assistance, and companionship, tailored to meet the unique needs of each client.
Always Best Care combines national strength and standards with local accessibility and personal service. The team at Always Best Care Atlanta has your loved ones’ best interests at heart, and will ensure that exceptional...
Life moves in one direction – forward. No matter what each person’s circumstances are, SYNERGY HomeCare steps in with effective, comforting, life-affirming care that moves people, and their loved ones, emotionally and...
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...
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...
Healing Haven Home Care stands out from the rest through our unwavering commitment to personalized care and holistic well-being. We take pride in seeing you as a whole person, not just a customer. We believe in treating...
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...
At Senior 911, we believe that we must provide excellent senior care and that every person we encounter is treated with dignity, kindness, and respect. We provide families with peace of mind that their loved one is safe...
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...
You can be confident that all of our caregivers are State licensed Certified Nursing Assistants, well trained in the diseases of the elderly, highly experienced in critical areas of need and have passed a complex...
At Aarons Home Care 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 comfortably in...
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...
Our caregivers assist with activities of daily living such as bathing, dressing, grooming, and medication reminders, promoting personal hygiene and overall wellness.
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...
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...
enTouch Home Care provides compassionate, non-medical in-home care focused on helping seniors and adults remain safe, comfortable, and independent at home.
Whether providing short-term assistance or long-term support, our team is committed to enhancing well-being and fostering peace of mind for both clients and their families.
Just as growing older can allow for a more relaxed lifestyle, it can also present new obstacles and challenges. Our clients have peace of mind knowing that we are dedicated to their satisfaction and quality of life. We...
Welcome to Flamede health! We provide efficient, effective, comforting and loving short-term and long-term in-home care. We are here to care for the needs of your loved ones from Pediatric to elderly & disabled. We...
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.
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...
A DASH OF LOVE HOMECARE AGENCY 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...
Premium Nursing Services 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...
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...
Care Vicinity, 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...
Our mission is to provide compassionate, personalized, & professional in-home care that enhances the quality of life for individuals and families. We are dedicated to delivering exceptional care with respect, dignity, and...
Sista’s Compassionate Care Services (SCCS) was founded on the notion of compassion and proper care. The founder’s, Merlyn Bastien and Guerline Benjamin, have a combined 15 years of experience in the senior care field. We...
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...
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...
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...
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...
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...
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...
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...
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...
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...
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...
At Senior Helpers of Lawrenceville, we know how challenging it can be to get the help you or your loved one needs. We have been in the exact same spot as you are in now. Our owners, Debbie and Julio, opened their...
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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.