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:
At Friends and Family Home Care, we understand the importance of comfort and familiarity. That's why we bring professional care right to your doorstep, ensuring your loved ones receive the support they deserve in the...
At PCAH of Folsom & El Dorado Hills, our mission is to enrich the lives of seniors and adults by delivering exceptional, personalized in-home care that promotes independence, dignity, safety, and peace of mind. We believe...
Senior Helpers of East Sacramento was established in 2021. Our office is owned and operated by Ryan Breen, who is an advocate for high-quality senior care. At Senior Helpers of East Sacramento our primary goal is to help...
WelbeHealth is a Program of All-Inclusive Care for the Elderly (PACE), full-service healthcare provider that helps you live your life healthy and happy, in your own home.
My journey in caregiving began years ago while working as a Certified Nursing Assistant, where I learned how meaningful truly personalized care can be. Today, I’m grateful to serve as Operating Director at Cornerstone...
Senior Helpers of Solano/Yolo is owned and operated by Bob Nations. He has been in business for over 18 years and really cares about his clients and caregivers.
Senior Helpers of Sacramento/Placer is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
Maxim Healthcare Services, Inc is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Interim Healthcare is a leader in the home care industry with 50 years of experience. We provide supportive services to frail and disabled individuals allowing them to remain independent in their homes. Our care...
Mercy Home Health is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Prasad's Senior Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Seniors Hand Care, is not only our name, but it stands as our way of service. We bring safe, loving, and caring services to those that desire to have a nursing home setting and treatment, in the comfort of their own home.
Amedisys Home Health Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Acti-Kare is a leading in-home senior care company that has been trusted for over a decade. Our caregivers are insured, bonded, and trained which means you will receive a trusted and professional caregiver every time....
PACE is designed to keep seniors independent and at home for as long as possible. Senior care decisions are never easy, especially when dealing with complex health issues that require multiple services. InnovAge PACE –...
Sacramento Elderly Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
RX Staffing and Home Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
INDECARE In-Home Care Sacramento, CA Alan and Karen Fisher, Owners My wife Karen and I founded INDECARE in 2006 out of the frustration my family experienced in trying to find someone reliable and trustworthy to...
7ELITES HOMECARE LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
LIFESTYLE HOMECARE FACILITY is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Guiding Souls Home Care, Inc. is a family-owned and operated company. Our combined 50 years of experience will ensure you get the best care. Our team of caregivers is experienced, dedicated, reliable, and trained. This is...
Prohealth Care, Inc of Sacramento is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
We believe that the most important part of deciding on who will care for your loved ones begins with an initial meeting. At that meeting you can ask questions of our professional home care team, giving us a chance to get...
Pediatric Services of America is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
CARESCOPE specializes in providing quality In Home Care Services to seniors throughout the greater Sacramento region, including, but not limited to, Elk Grove, Roseville, Rocklin, Lincoln, Auburn and El Dorado. We offer...
Advanced Home Health, Inc is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Special Hearts Homecare is dedicated to providing personalized care and is available when you need us. Our quest is to keep seniors and those in need in the comfort and security of their own homes, without the loss of...
Flourish Home Care, LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
At Kindred at Home, our Personal Home Care Assistance can assist with personal care, daily living necessities, and help around the home. If you or a loved one is struggling with prolonged illness, recovery from surgery,...
Tender Loving Care is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
All For You Home Care is a professional home care organization with a deep commitment to the people we serve, their families, and the care givers we hire to serve you. This is what makes your care so special. To get...
BrightStar Care of South Sacramento, CA is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Tenderhearts Home Care is licensed caregivers agency located in Sacramento,California. We specialize in providing affordable assisted living to patients, or aging loved ones who wish to live at home and preserve...
Rx HealthCare Services has been the leading provider of healthcare services in the Sacramento community for over 30 years. As a nursing owned and operated organization, our unique whole person approach fosters a culture...
Sutter Visiting Nurse Association is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Through our unique system of in-home care that we call Interactive Caregiving™, our Comfort Keepers® engage clients in their care to enhance their independence and well-being. Interactive Caregiving™ includes four...
It doesn’t matter if you’re here because you’re looking for help living independently, or if you want to make sure someone you love has the support they need to stay in their home. We believe there’s more to caring for...
Kaiser Foundation Hospital Home Health-Sacramento is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
UC Davis Home Care Services is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Caregivers of Land Park LLC is a home care provider that services in Sacramento, CA. Home care services allow seniors to remain safely in their own home while receiving medical care or assistance with...
Golden Years In-Home Senior Care is an innovative leader in the area of non-medical in home care. Our specialized care covers a wide range of services that relate to supporting and maintaining a happy healthy and safe...
Searching for a like-minded friend to help tackle chores and tasks? Do you seek a companion to join you in hobbies and activities? Our caregivers – seniors themselves – show up ready to exceed expectations – on a schedule...
Right at Home Right at Home was founded 13 years ago because we saw the anguish families go through when care needs arise. Our guiding principal is that the best care focuses on improving the quality of life, one...
We are a devoted service organization focused on enhancing the quality of life for individuals and their families through comprehensive support and care. Our mission is to bring comfort, support, and a sense of dignity to...
Caregivers Who Are Experienced & Specially Trained Our team at Polaris Home Care is able to provide you and your loved one with premier home care services. Whether you need 24/7 care for your loved one or someone who...
Golden Years In-Home Senior Care is an innovative leader in the area of non-medical in home care. Our specialized care covers a wide range of services that relate to supporting and maintaining a happy healthy and safe...
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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.