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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:
We believe that every individual deserves to feel cherished and supported in the comfort of their own home. Our dedicated team provides compassionate, non-medical in-home care tailored to the unique needs of our clients. Whether it’s assistance with daily activities, companionship, meal preparation, or light housekeeping, we are here to ensure that your loved ones experience dignity, respect, and joy every day.
Feel better in the comfort of your own home. We specialize in care and daily living assistance to an array of individuals. Whether you need daily or weekly assistance due to aging, illness, recovery, or rehabilitation, our care givers will provide an individualized service that you can trust.
Scott and Gladis Fox founded Senior Helpers Hillsborough in 2008. The Foxes and their Riverview-based team are committed to providing compassionate, reliable care that helps seniors continue living in their own homes and provides their families with invaluable peace of mind.
Home Helpers® Home Care is a in-home care service that provides top quality in-home care. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your loved one stay safe and independent at home.
ARAA Home Care, LLC, we are proud to serve the community with home care services that are tailored to the needs of medically fragile persons and their families. We work together as a team to give every patient a healthy experience worth smiling about.
irstLight HomeCare is staffed by people who have "been there" and who understand the challenges families face when caring for loved ones across town, or across the country. Every FirstLight HomeCare caregiver is an employee, state licensed, thoroughly screened and background checked, and must pass through our rigorous care training.
Founded in 1997, Home Helpers is the nation’s leading senior care franchise specializing in non-medical and personal care and companionship for seniors, new mothers, those recovering from illness or injury and individuals facing lifelong challenges.
At Association Home Care we are dedicated to providing exceptional care and support to individuals and families in the comfort of their own homes. Our compassionate and experienced team of caregivers is committed to enhancing quality of life and promoting independence, safety, and well-being. With a personalized approach to care, we strive to meet the unique needs of each and every one of our clients. Contact us today to learn more about how we can help.
BAYADA Home Health Care in Tampa, FL provides personal care services and non-medical assistance with activities of daily living (ADLs) for adults and seniors when a health issue has made it difficult to manage everyday tasks on your own.
Absolute Home Health Care is comprised of compassionate, caring professionals committed to delivering quality health care to individuals who require skilled services but are unable to leave their home. Our approach to quality care focuses on a commitment to providing a level of expertise, training, patient service, and monitoring that is difficult to match in our industry.
A Care Connection Home Health provides a comprehensive range of services to meet your home health needs. We understand that each client is unique, valuable, and deserving of compassionate, individualized care. Our caregivers are dedicated to helping you reach your health and lifestyle goals. We work closely with your physician to create an individualized plan of care to address your symptoms, mobility, and overall health and safety. Whether you are coping with an illness, transitioning from hospital to home, or struggling with a functional or cognitive decline, our clinicians are equipped to address your specific health needs in the comfort of your own home. Our caregivers are also trained to be physically and emotionally attentive, in order to improve every client’s overall well-being. A Care Connection also provides private in-home care, in order to help family members care for their loved ones and keep them safely at home. If you are a family member, caregiver, concerned friend, or potential client in need of extra assistance, private in-home care may be the answer.
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 of life for both seniors and their families in every caregiving experience. If your family recognizes the value of aging in place as we do, you’ve come to the right place. Home Instead® Care Professionals provide compassionate and reliable home care services to help keep senio
At Amada, quality care is our priority. We look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking, cleaning and grocery shopping, but they also go above and beyond to make their clients smile. Recently, one of our caregivers discovered that her client had spent his whole life farming – so she purchased some seeds before her visit and planted a garden for them to tend together.
Rely on our credentials, experience and reputation for the assurance that you are making the right decisions for your parent, spouse or family member. We are licensed, bonded and insured to serve Pinellas County, Pasco County, and Hillsborough County.
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 of life for both seniors and their families in every caregiving experience. If your family recognizes the value of aging in place as we do, you’ve come to the right place. Home Instead® Care Professionals provide compassionate and reliable home care services to help keep senio
Our caregivers are not just highly trained professionals; they are compassionate companions who are committed to ensuring your comfort and well-being. We also offer a mobile stairlift service to help those with mobility issues.
At Right at Home we are the right people, doing the right things, the right way, for the right reason. When you choose us to provide in-home care for your loved one, you can feel confident they will receive the right care. Whether a family member needs a little extra help around the house, assistance recovering from a hospital stay or someone to check in on them throughout the week, Right at Home Sun City Center's in-home care is the answer.
The Acti-Kare mission is to become the nation’s premier provider of In-Home Care. We accomplish this by providing highly qualified, compassionate and trustworthy caregivers who have undergone thorough background and reference checks. We are committed to providing outstanding home care services, to exceeding our customer’s expectations, and to treating every family member as if they were our own.
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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.