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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:
Quality Home care Services located in Homestead FL is providing homemaker and companionship for Miami-Dade and Monroe county. Whether you are searching for personalized care as you recover from illness or injury, Live-In (24 hour care) or companionship/homemaker for you or your love one, Quality Home Care is your customized care solution.
COMPLETE CARE HHC Is an organization specialized in providing home health care and therapeutic care to homebound patients, services are offered in the comfort of your home: dementia, homemaker care, hospital to home care, medication and safety management, personal care services, diabetes care, Parkinson’s, Alzheimer, Multiple Sclerosis, wound care, after surgical care, cardiovascular diseases, assistance with daily injections.
Our team of compassionate caregivers provides personalized care services tailored to meet each client's unique needs. With a focus on respect, comfort, and safety, we strive to improve the quality of life for our clients and their families. Contact us today to learn more about how we can assist you or your loved one.
Senior Helpers of Naples and Bonita Springs is fully committed to providing dependable and affordable in-home care with well-trained caregivers. Nothing is more important to our team than being the best available elder care resource for seniors and families in our Southwest Florida community.
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
We are striving for an innovative and proactive home care approach. Our patient’s come first. We want a 100% client satisfaction rate. We believe in being involved at every level within our company. Gulfshore Private Home Care is a LOCALLY OWNED AND OPERATED in-home service registry that refers quality caregivers to provide private home care to individuals and families. We are dedicated to helping our clients lead dignified, independent lifestyles in the comfort and safety of their own homes by carefully assessing and fully understanding their needs and selectively referring trained personnel to meet these needs. Proudly serving Naples and the Collier / Lee County Area, Gulfshore Private Home Care provides innovative, high-quality, home health care services to homebound individuals, in need of skilled nursing and/or CNA/HHA supportive care, in the comfort of their own homes. Our interdisciplinary team, helmed by the patient’s own physician, establishes goals and desired outcomes, then utilizes the newest, most appropriate methods to return our patients, to their maximum possible state of health. Gulfshore Private Home Care is guided by a tradition of personal, clinical and technological excellence. We strive to enhance our patient’s quality of life, preserve their dignity, and meet their health care, social and emotional needs by working with family members, caregivers, health professionals and the community at large. We are dedicated to providing the highest quality of senior home care to patients in the community setting, while demonstrating compassion and respect for each person. Contact us today to learn more about our services.
With home care services, our office can provide personal care plans through an in home evaluation and interviews between the client, family and the ComForCare team to help determine the best plan of action for the individual based on their specific needs. ComForCare Home Care can help individuals with daily activities. Our dedicated caregivers can be available for as little as a few times per week or 24 hours a day to provide care.
Griswold's mission is to provide the best non-medical home care at an affordable rate with tremendous customer service. Our wonderful office has been serving the southwest Florida community since 2010. We'll work with you to understand your needs, so we can recommend the home care services best for you and your loved one.
Right at Home is here to help. We provide care in the home, wherever that may be. Whether you and your family need a short term companionship option or more in depth care, Right at Home in Bonita Springs, FL can help you and your loved ones live safely and comfortably at home.
JT Private Duty Home Care provides assistance with daily needs and activities, short or long term, and allows individuals to safely maintain their independence in the comfort of their residence.
At BrightStar care of Naples your home care agency, we have a unique understanding of the issues today’s families face, struggling more and more to find time for even the most basic activities amid ever-busier lives. Finding experienced and compassionate caregivers can be a challenge – but it doesn’t have to be. Our companion care services focus on improving the health and well-being of those entrusted to our care and our clients count on us for outstanding in-home care and just about anything else they need, anytime, anywhere — so they and their loved ones can get the most out of life. Our certified caregivers go above and beyond to make more possible – more support, more joy, more laughter – in the lives of those we serve by truly engaging those in our care on an individual level. Each BrightStar client receives a personal, in-depth assessment conducted by our Director of Nursing that, among other things, takes into account their condition, personality and environment. We then put that knowledge to use, creating an individualized plan of care that meets our clients’ unique physical and emotional needs – a plan that strives to not only improve their health, but enhance their quality of life. This process, along with continual oversight by our nursing staff, helps us ensure the right fit between our clients and their caregivers, and enables us to quickly modify a client’s plan of care as their needs evolve. Assistance with connecting clients with loved ones through emails and social media, creating customized grocery lists in accordance with dietary needs and preferences, engaging in activities such as art projects and reading, facilitating visits with friends and neighbors, planning visits, outings and trips – these are just a few of the many ways our companion services are making more possible the lives of those in our care each and every day.
Home Choice Health Care Services is a proud, locally owned and operated home health care agency dedicated to supporting and nurturing families within our community. Our mission is to provide compassionate, reliable, and personalized care, ensuring that each individual receives the highest quality of service tailored to their unique needs.
Acti-Kare In-Home Responsive Care provides care for all stages of life. Our caregivers are on time, professional, insured, and bonded so that you can enjoy the comfort of receiving care in your own home! We will provide you with a dedicated caregiver who will put the needs of you or your loved one first.
When the time comes that your senior family member or loved one here in Southwest Florida, is no longer able to manage everyday living, call on Amada Senior Care for assistance. We’re a mobile senior home care company providing quality care that allows your loved ones to remain in their own home and maintain some of their independence while still receiving the assistance they need with activities of everyday living. We’re dedicated to caring for your loved ones as we would our own, and we also specialize in helping clients manage long-term care insurance claims and in assisting with Veteran's pensions such as the Aid and Attendance benefit. In Collier and Lee Counties, we’re the one place to call when it comes to daily senior care. Contact Amada Senior Care today. At Amada we look for ways to make simple, everyday tasks special. Amada’s in-home caregivers not only take care of daily essentials like cooking and cleaning, 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. At Amada, we know in-home care isn’t just about performing tasks on a to-do list. It can be hard for seniors to accept new limitations and open their home up to a stranger. Our caregivers understand that it’s essential to show compassion and really connect with their clients to make the changes easier.
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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.