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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
✔
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:
Took care of wife when the children had no idea how bad she was untill she spent the night with one of her children, then they started with hunting nurseing home.. No one knows what a strain it is on spouce 74Yrs old. Untill they expeience it.
Time for a family discussion and a caregivers contract as it will only get worse. otherwise you will do it all and they will be reeping the benefits of an inheritance in the end after you did all the work. You're a great person to do this, take the high road regardless of what happens as your conscience will be clear. Good luck
Hi, My Motherinlaw lives with us and has for about 11 years. In Oct 2011 she had a mild stroke, became insulin dependent diabetic and then had to have a pacemaker put in. Now since she has had these health issues we moved her back upstairs so we can wach and take care of her better. There is alot more responsibility for her meds, Dr appts, and she can not be left alone, cook for herself or do her finances so we do that too,. There are two other children but they live in another state. They rarely call or support us in any way. We know we are the ones who will have to continue to care for her and we are the ones who will make the hard decisions when we can not do it any more. We are tired and frustrated. It isn't easy. I think if we could have decent converstation with the other two it would help just to be able to say Mom has this issue, we had to deal with this today, whatever it is they have NO idea of what I do all day plus taking care of her, my husband works fulltime, takes care of the yard,cars, house repairs and so on plus helps me with Mom where he can. I have my own Mother who lives in Texas and she has her own health issues. She will not move here and I have a sister but their relationship is unpredictable that I can not ask my sister to take care of our Mom. She is there and has done alot over the years for her already. I just worry that when my Mom dies she may not even tell me that is how bad things are between us. My Motherinlaw loves us and knows we are the ones who are looking out for her. Take care. frustrated2012
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.
My Motherinlaw lives with us and has for about 11 years. In Oct 2011 she had a mild stroke, became insulin dependent diabetic and then had to have a pacemaker put in.
Now since she has had these health issues we moved her back upstairs so we can wach and take care of her better. There is alot more responsibility for her meds, Dr appts, and she can not be left alone, cook for herself or do her finances so we do that too,.
There are two other children but they live in another state. They rarely call or support us in any way.
We know we are the ones who will have to continue to care for her and we are the ones who will make the hard decisions when we can not do it any more.
We are tired and frustrated. It isn't easy. I think if we could have decent converstation with the other two it would help just to be able to say Mom has this issue, we had to deal with this today, whatever it is they have NO idea of what I do all day plus taking care of her, my husband works fulltime, takes care of the yard,cars, house repairs and so on plus helps me with Mom where he can.
I have my own Mother who lives in Texas and she has her own health issues. She will not move here and I have a sister but their relationship is unpredictable that I can not ask my sister to take care of our Mom. She is there and has done alot over the years for her already. I just worry that when my Mom dies she may not even tell me that is how bad things are between us.
My Motherinlaw loves us and knows we are the ones who are looking out for her.
Take care.
frustrated2012