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:
Senior Helpers - 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...
Care America HomeCARE is a provider of home care in South San Francisco, California that offers assistance to individuals with daily living and companionship. Our team of dedicated and compassionate professionals is...
Home Helpers Home Care, we understand the importance of personal care and companionship for our clients. Our Caregivers are trained to provide assistance with dressing, hygiene, and meal preparation, as well as offer...
Always Best Care Senior Services combines national strength and standards with local accessibility and personal service in Roseville, Granite Bay, Rocklin, El Dorado Hills, Carmichael, Orangevale, Fair Oaks, Folsom,...
Friendly Island In 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...
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...
Why You Should Trust Dependable Staffing for Home Care Services: Home care involves deep compassion and care for the elderly, disabled, and ill and assists patients with activities of daily living (ADLs) such as...
At Bridging Elder Care Services, our mission is to enhance the quality of life for older adults by providing compassionate, personalized, and holistic care solutions that honor their dignity and independence.
Amevian Home Care you can count on finding and keeping reliable, high-quality care shouldn’t be difficult – but it often is. It all comes down to partnering with the right people. With our Sacramento caregivers and local...
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,...
Carescope offers a wide range of high quality non-medical care services, which have let the organization stand out among other services like our own. Our home health care services range from minimal companionship to...
We can help those in need not only by providing quality care at great value, but also by answering questions, offering advice, suggesting resources, or simply by listening. Take a minute to look over the information on...
Choosing the best home care agency for your loved one is something most people are not prepared for, but Amada Senior Care is here to show you the way. Correy Webb and Joel Wilson, the owners of Amada Senior Care...
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...
Welcome to Purposeful Angels Home Care Personal Care in Pleasanton, California. You deserve to have the optimum level of health and comfort. Whenever life’s difficulties hinder you from achieving wellness, then we are...
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....
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...
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...
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...
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...
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 –...
Seniors Helping Seniors® in-home services matches seniors who want to provide help with seniors who are looking for help. We started in 1998 with a simple concept that seniors can help each other age better and that those...
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...
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...
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...
Guiding Souls Home Care 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...
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...
At Visiting Angels, we strive to make staying at home a positive experience. We do this by allowing you to select your caregiver from a group of skilled elderly home care providers, allowing you to maintain your schedule,...
ACASA Corporate 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...
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...
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...
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...
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...
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...
Abbey's Petra Fonte 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...
Carescope In Home Care- 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...
Bob Nations, owner and CEO of Senior Helpers Napa, is dedicated to providing high-quality in-home care as well as exemplary care management services. Bob and his staff are committed to helping seniors in the North Bay...
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...
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...
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...
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...
Ally Independence focuses on the senior members of the greater Sacramento community being able to age gracefully during, what should be, their golden years. At Ally Independence, only the best candidates qualify to...
Home care has never been more convenient than with FirstLight Home Care. If you or an adult you love are in need of home care services, count on FirstLight to be there. Our friendly and highly trained staff offers home...
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...
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.