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:
Camping with hubby and friends for the firsf time without worrying about responsibilities that were not of my choosing. 3 years being saddled with an unwanted responsibility of caregiving took quite an emotional toll on me. Deceased and now I am free.
It was no different than any other day. Sig other went to work [the airports don't close for holidays], and I did light housework which bored me to tears.
At 8pm I called my parents to remind them to watch the entertainment from Washington D.C. which is being shown on our PBS stations. They probably fell asleep after 15 minutes.
Then the communities around us started with their fireworks along with the neighbors with something new now that sounded like a cannon. Oh my gosh, my one cat was terrified by that sound, as I am sure the wildlife outside was, too. Really now, was it necessary to fire off stuff that sounded THAT LOUD? Thank goodness it quieted down around midnight. Had my fire/EMT scanner on, and there were no firework injuries, thank goodness.
July 4th is my mother's birthday. She turned 84 yesterday. I drove to her house Saturday morning, bought a birthday cake and ice cream on the way. I took my mother to a 4th of July barbecue at her 55+ community, then back to her house where we had a birthday party with my 2 sisters and BIL. It was very nice, actually.
Today I got up (still at Mom's house) and did a long list of chores including taking her shopping, getting her car washed and gassed up, changing her bed, fixing her clogged coffee-maker, replacing the feet on her walker and the grip bars in her shower, etc. etc. I just got home a few hours ago and I have to drive back tomorrow (90 miles each way) to take her to a morning drs. appointment on Tuesday. I'm glad we gave my mom a nice birthday, but I'm feeling bummed about the ever-expanding list of responsibilities that are falling in my lap these days.
Freqflyer. ..they did the super loud fireworks here too . My neighbor across the street had a party and they were shooting them all night. Unfortunately, my bedroom windows face them so I didn't get much sleep until very late and it was hard to wake up for church this morning! !!
WHY do I keep posting too fast? ??!!! We haf a LOT of rain here on the 4th of July, so a lot of cookout got rained out or postponed. :( It.cleared up in time for the city fireworks celebration. My cousin (POA) and her boyfriend came over and helped clean up the house and trim the bushes outside. They promised to come back and help me with the garden and grass. Outside work was always Aunty's job...she would never let anyone help her with it.
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.
At 8pm I called my parents to remind them to watch the entertainment from Washington D.C. which is being shown on our PBS stations. They probably fell asleep after 15 minutes.
Then the communities around us started with their fireworks along with the neighbors with something new now that sounded like a cannon. Oh my gosh, my one cat was terrified by that sound, as I am sure the wildlife outside was, too. Really now, was it necessary to fire off stuff that sounded THAT LOUD? Thank goodness it quieted down around midnight. Had my fire/EMT scanner on, and there were no firework injuries, thank goodness.
Today I got up (still at Mom's house) and did a long list of chores including taking her shopping, getting her car washed and gassed up, changing her bed, fixing her clogged coffee-maker, replacing the feet on her walker and the grip bars in her shower, etc. etc. I just got home a few hours ago and I have to drive back tomorrow (90 miles each way) to take her to a morning drs. appointment on Tuesday. I'm glad we gave my mom a nice birthday, but I'm feeling bummed about the ever-expanding list of responsibilities that are falling in my lap these days.