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.*
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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:
At Christian Companion Senior Care, we have been providing reliable and affordable in-home care services to clients in Dallas, Rowlett, Sachse, Wylie, Rockwall, Richardson, Plano, Garland, Mesquite, Forney, Fate, Royse...
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For 24 years, TheKey has earned the trust of more than 120,000 clients by delivering 12 million hours of personalized home care each year using our science-backed Balanced Care Method® that actively supports well-being....
HelpU LLC is a trusted homecare agency proudly serving families across Texas with compassionate, reliable, and personalized in-home care services. Our mission is to enhance the quality of life for seniors and individuals...
A Place at Home Allen is here to provide you with compassionate professionals to assist you or your loved ones throughout the aging process. We strive to provide seniors with the ability to age with dignity and respect...
Home Care Book is a home care provider in Dallas-Fort Worth TX founded by professionals with national experience in healthcare. After reviewing countless home care and healthcare delivery models, Home Care Book was...
Herewith, Inc. is a nationwide platform connecting families with caregivers for in-home non-medical assistance. In Texas, they offer flexible senior care services through a network of "Caregivers" who assist with tasks...
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Mayehomecare delivers reliable, compassionate in-home support that helps clients live safely, comfortably, and independently. Caregivers provide personalized daily assistance and meaningful companionship—giving families...
TX Newlife Home Care LLC is a compassionate and client-focused home care agency dedicated to enhancing the quality of life for individuals across Texas who need personalized support in the comfort of their own homes. We...
At Seniors Helping Seniors - Grapevile, Keller and Denton our in-home care feels less like a service and more like getting a little help from your friends®. Our caregivers are compassionate fellow seniors who are...
At Home Halo of Plano, we believe care shines brightest when tailored with heart. Our dedicated caregivers offer thoughtful, individualized support—from daily routine assistance to heartfelt companionship and personalized...
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...
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Senior Helpers of Plano, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Hello! We are Marshall & Kacy Oden and we would like to welcome you to the Griswold Home Care Office of Garland, TX. We independently own and operate the Garland office and are very proud to offer affordable, high...
Bent Schoellhorn opened the Senior Helpers Greater Dallas office in 2007 due to his commitment to delivering the best in-home care to seniors in the Greater Dallas community. Bent and his wife of 46 years consider it an...
Our home care services can help aging adults stay engaged in everyday life with tailor-made support by professional caregivers to stay safe and well at home. It’s our mission to provide a care plan personalized to your...
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Compassionate Support Home Care is a non-medical home care agency dedicated to providing reliable, empathetic assistance to seniors and adults who need help remaining safe and independent at home. The agency emphasizes a...
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Ruth's Patient Care Solutions Inc is committed to delivering compassionate care through trained and dependable caregivers who prioritize respect, empathy, and professionalism.
Oliver Araiza, owner of Senior Helpers East Dallas, Garland knows getting the best care for your loved one should not be difficult. Oliver is dedicated to his community and supports elderly clients by offing them a better...
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Herald Home Health Care Llc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Aable Homehealth Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Caring Senior Service is a trusted homecare choice for seniors and their families in the area. Read more about our homecare services for this area. Caring Senior Service offers services, education and safety care...
J Shalom Home Health Services Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
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Quality Nurses Plus Home Health Care Inc is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We care compassionately! Emma's Home Care is the PREMIER senior care provider in the Dallas Metroplex area. Emma’s Home Care provides non-medical care and companionship that allows our clients to choose to maintain...
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Adage Home Care provides compassionate, dependable in-home assistance that supports comfort, safety, and independence. Caregivers offer personalized daily care and meaningful companionship—giving families confidence and...
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...
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Visiting Angels of Richardson, TX is a home care provider that services in Plano, TX. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Monarch Senior Home Care provides in-home companionship and personal services supporting our local DFW Seniors with a wide range of care needs. Since 1995, our leadership team has been at the forefront of innovative and...
We are committed to, not only making the patients lives better, but helping families of the patients with their stress as well. We ensure they can stop being the caregiver, and assure them that the very best care...
Home Helpers® Home Care is a home healthcare service that has been providing top quality in-home care for over 25 years. Our Cared-4℠ program is a holistic approach to meet the four primary areas of need, helping your...
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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.