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.
✔
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:
Options Home Care of Gaithersburg, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
A Homemade Plan is a hardworking and caring home care company that is dedicated to its patients, clients, care providers, and community. We are a locally owned and operated company based in Maryland. We help those who...
A Homemade Plan of Lanham, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital City Nurses of Columbia, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Capital City Nurses of Chevy Chase, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Best Care Home Care is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Senior Helpers of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
2nd Family - Eldersburg is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Comfort Home Care LLC, provides in-home care, according to your schedule, your needs, and your individual personality, or that of a loved one for whom you may be primarily responsible. Comfort Home care is unique because...
Their mission is to deliver professional, compassionate care and rehabilitation for individuals with acute, chronic, or terminal conditions, while their vision is to become a leading provider of innovative, home-based...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
Options For Senior America Corp. started providing home care services in late 1989 to the residents of the Washington, DC metropolitan area. What started as a handful of customers grew substantially due to the personal...
LivingWell Health Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
To improve quality of life for those we serve through the delivery of clinical excellence, extraordinary service and compassionate care, while being recognized as the leader in home health and hospice services.
Adrianna Healthcare Solutions LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Compassionate Care You Can Trust The Foundation of Love Home Care provides compassionate and reliable in-home care services to seniors and individuals with disabilities. We are dedicated to helping our clients maintain...
Love In Action Homecare, LLC - We are dedicated to delivering innovative holistic care that meets the unique needs of each individual, fostering a safe and nurturing environment in the comfort of their own home.
Gravity Health Care offers Top Quality Home Care Services in Maryland for older adults/seniors, people with cognitive/intellectual disabilities, and for people with a wide range of physical limitations and disabilities....
Welcome to AMD Healthcare Services, your trusted partner in providing compassionate and personalized non-medical in-home care services in Laurel, MD. At AMD Healthcare Services, we understand the importance of maintaining...
Victorias Garden Healthcare Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Cymatex Consults, LLC provides a full line of quality personalized Home Care and Respite services that ensure the satisfaction and happiness of our clients and their family members.
Caring friends has a long tradition of providing exceptional care and support to residents, families, and caregivers. Our passion for giving back to the community is reflected in our caring team, who offer personalized...
Accelerated Health Services Inc. is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Shalom Care, Inc is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
SnS Divine Home Care was founded on the desire to help others live comfortably in their own homes. We offer to our clients individualized in-home support services, assisting the senior population, disabled and others...
TLC Care Services, Inc. ensures that all our clients are completely comfortable when we provide them with the treatment services they are prescribed with. Our philosophy of care revolves around specifically meeting unique...
Xplicit Health Care Services, Llc of Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are committed to providing the highest level of quality and affordable care possible to your loved ones in the comfort of their home. Our Care Providers will continually strive to treat each and every client with...
At Freeman Home Care Agency LLC, we cater to all individuals requiring frequent light duty and companionship assistance. At-home care may be a great option for geriatric, cancer, maternal, and post-operative patients who...
At Longevity Home Healthcare, LLC, our mission is to provide compassionate, personalized, and high-quality in-home healthcare services that empower individuals to live healthier, more fulfilling lives in the comfort of...
Bwell Healthcare, Inc. is a state licensed residential service agency providing complex skilled nursing services with non-skilled and Supervision of Aides to clients in the comfort of their homes. In addition, we offer...
Housen Health Services manages Housen Homecare, Housen Health Staffing Services, and Resolve Behavioral. Housen Homecare has served the greater DMV serving seniors, adults with disabilities and children with special for...
Cardinal healthcare Solutions is an in-home healthcare service agency located in Laurel, Maryland. At Cardinal Healthcare Solutions, inc. you can find skilled, experienced staff who has helped clients just like you and...
At GAVA Healthcare, we are a licensed home care agency serving Maryland. As a locally owned family business, we are dedicated to providing compassionate and personalized care services to people of all ages. With a deep...
Royal Residential Services LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At First Healthcare Consultants, Our mission is to improve our client’s lives and health by providing professional services, enabling them to achieve the full potential of every day.
ALLCARE@ HOME, LLC. is committed to providing a comprehensive line of quality homecare services. We provide services to individuals in the Maryland communities, we also serve the homecare and healthcare staffing...
Noble Healthcare Services is a home care provider that services Laurel, MD 20708 and surrounding areas. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prime Care Solutions - Laurel, MD is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At jomay homecare, our nurses and caregivers are our greatest assets. we pride ourselves in providing the highest quality care vital to the health and well-being of our patients. our nurses and caregivers who chose the...
Prime Care Solutions LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Jayl Compassionate Home Care, LLC is an In-Home Care and referral Services company with the mission to provide clients with affordable In-home care services and attention they deserve (give the required attention to...
JPS Group, LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Skycare LLC is a home care provider that services in Laurel, MD. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We are a licensed non-medical home Care and staffing company that provides services to patients in the state of Maryland. Your family and personal health is our priority. We are a Home care agency that provides skilled...
Marcie Home Health Care aims to provide care, assistance and support in ways that is safe and satisfactory to all of our residents at the comfort of their homes. At Marcie Home Care, we will work with our resident, those...
EverCaring Inc. is a Maryland licensed Residential Service Agency (RSA) and a Nurse Staffing Agency. We provides skilled and unskilled in home nursing care at affordable and competitive rates in Maryland and its...
Our mission is to improve our clients’ and their families’ overall quality of life and health. We do this by offering our services with their health, safety, and comfort in mind at all times.
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...
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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.