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:
I have had to change that promise in a subtle (or maybe not-so-subtle) way: "I will take care of you as long as I am physically able to."
When talking about why she didn't seek medical care for her various ailments over the last 25 years, Mom's stock excuse has always been, "I never thought I'd live this long!" She pretty much talked me into taking the same attitude, and I made the Noble Promise thinking she might be right.
Well, she wasn't. She did live "this long," and the additional 25 years of life have been as long for me as they have been for her. I've gotten older, too, and I'm starting to feel the effects of the years. The difference is I've resolved to seek medical attention for things that bother me, and it's helped me to stay in better shape than she has, but there are some things that can't be fixed that easily. And time refuses to stand still...
Over the last couple of months, there have been new challenges. At first, Mom could get in and out of bed by herself, no problem. Then she had trouble getting in, so I had to start helping her heave her legs, which are quite heavy, into the bed. Now, it's trouble getting out of bed... and the sad thing is, she already has a hospital bed. It's getting more and more difficult each day.
She had no problem eating her meals by herself for many years. Now, I put on her bib, push her wheelchair as close as possible to the table, vacuum the floor and "empty" the bib after she's finished. She spills so much now, it's only a matter of time before I'll have to feed her...
When Mom first came to live with me 10 years ago, she could still go to the bathroom by herself. Incontinence led to her to using a urinal, but she could still have her BMs in the toilet. Now it's Depends and a commode beside her desk, and she's having more and more trouble getting there in time...
There are lots of other things happening that we never thought would happen, but you get the idea.
The fantasy (for Mom) was that she would just die in her sleep long before she became completely incapacitated. The reality is that God takes us when He is ready to do so, regardless of what we hope for.
In hindsight, I wish I'd never made that promise. I should have known better, and instead made a promise that was based on both love and practicality. But we both thought that things would be different.
I am copying this from a previous post of mine. And this is sugar coating it, leaving out the accusations by her.
I don't bring up any thing re my mom unless I have to. But I no,longer have to call the police about what criminal fix it person she has allowed in, and how much money they may have taken for that day, because they figured out she could not remember whether she paid them or not. Nor do,I have two banks calling me that these people have brought your mother to the bank to cash checks they got from her and she is talking about financing a 70k truck for one of them.
Why? Because she is in a memory care facility.
I Am deeply appreciative of those who share their stories. Some are very painful and I recognize that. If you can, come into the jungle. If not, understood.
I agree. Not a promise that should have been asked and not one that should have been accepted. The validity of the promises dissolved when the ability to reason and self care evaporates
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 have had to change that promise in a subtle (or maybe not-so-subtle) way: "I will take care of you as long as I am physically able to."
When talking about why she didn't seek medical care for her various ailments over the last 25 years, Mom's stock excuse has always been, "I never thought I'd live this long!" She pretty much talked me into taking the same attitude, and I made the Noble Promise thinking she might be right.
Well, she wasn't. She did live "this long," and the additional 25 years of life have been as long for me as they have been for her. I've gotten older, too, and I'm starting to feel the effects of the years. The difference is I've resolved to seek medical attention for things that bother me, and it's helped me to stay in better shape than she has, but there are some things that can't be fixed that easily. And time refuses to stand still...
Over the last couple of months, there have been new challenges. At first, Mom could get in and out of bed by herself, no problem. Then she had trouble getting in, so I had to start helping her heave her legs, which are quite heavy, into the bed. Now, it's trouble getting out of bed... and the sad thing is, she already has a hospital bed. It's getting more and more difficult each day.
She had no problem eating her meals by herself for many years. Now, I put on her bib, push her wheelchair as close as possible to the table, vacuum the floor and "empty" the bib after she's finished. She spills so much now, it's only a matter of time before I'll have to feed her...
When Mom first came to live with me 10 years ago, she could still go to the bathroom by herself. Incontinence led to her to using a urinal, but she could still have her BMs in the toilet. Now it's Depends and a commode beside her desk, and she's having more and more trouble getting there in time...
There are lots of other things happening that we never thought would happen, but you get the idea.
The fantasy (for Mom) was that she would just die in her sleep long before she became completely incapacitated. The reality is that God takes us when He is ready to do so, regardless of what we hope for.
In hindsight, I wish I'd never made that promise. I should have known better, and instead made a promise that was based on both love and practicality. But we both thought that things would be different.
I don't bring up any thing re my mom unless I have to. But I no,longer have to call the police about what criminal fix it person she has allowed in, and how much money they may have taken for that day, because they figured out she could not remember whether she paid them or not.
Nor do,I have two banks calling me that these people have brought your mother to the bank to cash checks they got from her and she is talking about financing a 70k truck for one of them.
Why? Because she is in a memory care facility.
I Am deeply appreciative of those who share their stories. Some are very painful and I recognize that. If you can, come into the jungle. If not, understood.