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:
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...
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.
Riverdale Health Group LLC. is committed to giving you the best care for your loved ones. We take pride in our supportive service care experience with our client. The first step to meeting our clients needs starts with...
Providing Care, Support and Relief Unity Healthcare is your reliable source for in-home care for family members who are still living independently, recovering from surgery or illness or who may no longer be able to take...
Rod and Kristy Marter opened Senior Helpers Memphis office in 2009 to provide the community of Germantown and surrounding areas with the best possible in-home senior care. Whether you need companionship, personal care or...
All 4 U LLC Personal Care Agency provides a range of in-home care services for seniors, children, and adults with disabilities. We offer dependable care that is sensitive to any individual with disabilities,...
Focused on helping your loved ones remain safe and independent in their familiar surroundings, in-home care includes professional services ranging from companionship to memory care.
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...
Right at Home helps seniors and disabled adults remain in the comfort of their own home. If you or a family member needs assistance with routine daily activities, Right at Home is the helping hand you seek. Our trained,...
In addition to residential care, Trinity Care Homes and Transit Services LLC offers dependable non-emergency medical and personal transportation throughout the Memphis area. Our trained staff ensures clients arrive safely...
Cornerstone Caregiving is dedicated to providing exceptional home care services with a focus on flexibility and quality. We offer personalized care plans with no minimum hourly requirements, ensuring that each client...
Finding the right home care for your loved one, whether they are aging, disabled, or recovering from surgery, is a serious decision. It takes courage and willingness. With FirstLight® Home Care of Greater Memphis, you can...
We build our caregiving team using rigorous screening processes, which enables us to assemble a highly skilled group of caregivers comprised of exceptional individuals. This ensures you receive only the best care for your...
Contact us today to learn more about our services and how we can assist you or your loved one on the journey to better health and independence. Feel free to customize this description further to match the specific...
Baptist Trinity Homecare is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Willowbrook Visiting Nurse Inc is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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...
Best Nurses, Inc is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Visiting Angels of Memphis, TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Elect Home Care is a company that specializes in affordable, non-medical assistance. Our services are designed for the elderly, new mothers clients with disabilities, clients with chronic illnesses such as arthritis,...
Prestige In Home Healthcare, LLC is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Choices Given Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Still Waters Home Health Agency is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We assist clients to improve quality of life while safeguarding their independence and dignity. We do this by sending reliable, compassionate, and affordable caregivers to the home or wherever they call home, to perform...
Lily Health Care is a privately-owned home care agency in Memphis. Dedicated and compassionate from the owner, Dineka, to each caregiver. Lily Health Care focuses on making sure that comfort is provided to each client in...
Our family caring your yours. Here at Senior Care Management Solutions, we are a locally owned Family Business committed to the care of seniors and the disabled of the Mid South. Janice and Jason Gibert lead a team...
Home Health Care of West Tennessee, Inc is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Americare Home Health Agency is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Premier Health Care Caring enough to Change the lives of people one family at a time Premier Health Care was founded to bring together reliable, quality employees who are dedicated to provide the highest level of...
Interim Healthcare Memphis is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Universal Supportive Care is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
True Alliance Home Care TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Blessing Assurance Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caring Companions associates are exceptionally trained professionals who regard their work as both a ministry and an opportunity to use their talents and experience to aid those who may suffer loss of independence and...
Senior Services Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tender Loving Care is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
BrightStar Care of Memphis, TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Amedisys Home Health is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Diamond Home Healthcare is committed to provide comprehensive, quality care to aid our clients in becoming productive, healthy and happy in all facets of their lives. Our home care agency was built to address the needs...
Our services are provided by trained, insured and bonded Caregivers. All Caregivers must possess previous verifiable experience in caring for seniors, children or disabled individuals. Each applicant undergoes a criminal...
Methodist Alliance Home Care is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our mission is to empower clients to live their best life within a family-focused atmosphere. A place where friendship will serve as the center of a foundation of love.
Family Home Health Agency is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Promise Land Enterprise, LLC is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Licensed Home and Community based personal support services provider. Assistance with activities of daily living including personal care and light homemaking. Work with long term care insurance carriers and hospice....
Home Care Services in Memphis, Tennessee. Help is essential to people with disabilities and illnesses. Considering family members’ responsibilities and other worries, hiring caregivers is beneficial. Knowing such...
Since 1996, Always Best Care has helped thousands of families with non-medical in-home care and assisted living referral services. Our passion for helping people maintain a safe, independent and dignified lifestyle...
Happy Living Home Health Care LLC - Memphis, TN is a home care provider that services in Memphis, TN. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Our Mission is to improve the quality of life for those we serve, through the delivery of excellence, extraordinary service and compassionate care, while being recognized as the leader in home care services.
At Amada Senior Care of Memphis, TN, it is our goal to meet all of a senior’s care needs and to surpass their expectations with our integrity and great service. If we are providing in-home care for a senior, we go 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.