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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
✔
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:
Whole Life Home Care LLC is a compassionate and dedicated provider of in-home care services, committed to enhancing the quality of life for individuals and families.
Get the Help You Need. Without the Burden & Fuss! Senior Key Care focuses exclusively on elderly clients that wish to live in their own home. Senior Key Care has deep experience in working with Alzheimer's and...
Co-owners Faye and Sheila understand the importance of the in-home care services that Senior Helpers provides and is passionate about helping others. Senior Helpers Ann Arbor provides our clients, families and caregivers...
We are Brian and Breanne Stuart, parents to two boys and owners of Homewatch CareGivers of Ann Arbor, serving Washtenaw and Livingston counties. We have a deep passion for caring and serving others and feel blessed that...
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...
At Divine Care for You, our mission is to honor the dignity, spirit, and unique needs of every individual we serve. Rooted in compassion, excellence, and a genuine commitment to enhancing lives, we provide personalized...
St Joseph Mercy Home Care is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Bernestines Direct Care Services Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Pennelophys Home Care, Llc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Connection Home Health Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Enchanted Home Care LLC is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
ComForCare offers a variety of in-home care services to fit the needs of you and your family. It is our goal to provide companionship and help out with everyday activities to ensure your elderly loved ones can live safely...
Grace Home Health Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Global Home Healthcare, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Traditional Home Healthcare, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Universall Home Healthcare, L L C is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Patient Care Home Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Personal Touch Home Health Care Services, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Carisma Home Care Services, our mission is to enhance the quality of life for our clients by providing compassionate, personalized, and high-quality in-home care. We are dedicated to serving individuals and families...
Purpose Home Health Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Primo Home Health Services, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Access Care Home Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Megal Grace Homecare LLC is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Heart that cares, llc home care is a private home care company that provides home care services to people in need right in the comfort of their homes. Just like the name states our hearts care for people. We strongly...
All State Home Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Home Sweet Home Care Svc LLC is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Awesome Angels Homecare LLC provides essential support for individuals who need assistance with daily living activities in the comfort of their own homes. Home health aides can help with a range of services, from personal...
Heritage Home Care, Inc is a home care provider that services in Ypsilanti, MI. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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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.