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:
You can sign POA after your name. POA does not make you a guardian.
Your responsibility financially is to use THEIR money to pay THEIR bills. If they are running short, then figure out why. Maybe they don't need that big cable bill. Or a landline and cell phone. Me, I would keep the landline and get rid of the cell. A friend of mine had both and rarely left her house.
When one is admitted to a facility or hospital, read the paperwork carefully. They are always responsible for their bills. You are signing as a representative not someone that is responsible for payment.
Willid, you would have a " fiduciary" responsibility, which is different from and NOT personal responsibility. As an example, if you spend his funds frivolously, unwisely, or for yourself, that could be a breach of your fiduciary obligation. Then you would be accountable, and responsible for breach of your obligations.
Given his debts, you're wise to be concerned now. If you had to make a choice and allocate funds now between debts and medical obligations, I can understand your concern. But a question is whether or not he's still making decisions, or are you making them, and allocating funds?
And another question as to obligation for financial responsibility is whether or not your father has Medicare, and a gap or some type of supplemental plan. Are there specific reasons you're concerned about his potential medical bills?
As OldSailor pointed out, you don't sign ONLY your name. I signed "GA, pursuant to DPOA dated ….., for (GA's father) and NOT individually."
Are you familiar with Fiduciary responsibilities? If not, post back and I'll find some resources for you to read.
Not really. I would appreciate any resources you could send....My dad does make his own financial decisions. He refuses to allow myself or siblings to help him better manage his bills. Dad frequently calls & says he needs money now or needs medications he can't afford, or doesn't have money to buy groceries. He has Medicare advantage with a supplement. I realize that he doesn't have a lot of extra funds, but has enough to pay his bills....if he chose to do so. It's just easier to call & ask for it.
As guardian for my DW I was told and read if I signed anything I was to include the phrase " guardian for Luz". This was supposed to relieve me as being held financially responsible for her debts. So far it has worked and she passed away in March. I think if I were you I would consult with an elder care attorney in your area on this. The rules may be different in your area. You may have the ability to use your POA to spend your LO's fund for care but not obligated to send your own funds. Please check with legal professionals.
No. POA never assumes financial responsibility. They only have the power and the obligation to make decisions. A financial POA doesn’t make you financially responsible.
It depends. Durable Power of Attorney includes financial as well as health care power of attorney. What do you have? Need more info in order to answer your post.
My parents are divorced with only a minimal sum of monthly social security. My father has significant debt. My concern is that if I sign forms for him upon hospital admission "consent to treat" or assume the role of POA that I could be obligated to financial responsibility for his medical bills
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.
Your responsibility financially is to use THEIR money to pay THEIR bills. If they are running short, then figure out why. Maybe they don't need that big cable bill. Or a landline and cell phone. Me, I would keep the landline and get rid of the cell. A friend of mine had both and rarely left her house.
When one is admitted to a facility or hospital, read the paperwork carefully. They are always responsible for their bills. You are signing as a representative not someone that is responsible for payment.
Given his debts, you're wise to be concerned now. If you had to make a choice and allocate funds now between debts and medical obligations, I can understand your concern. But a question is whether or not he's still making decisions, or are you making them, and allocating funds?
And another question as to obligation for financial responsibility is whether or not your father has Medicare, and a gap or some type of supplemental plan. Are there specific reasons you're concerned about his potential medical bills?
As OldSailor pointed out, you don't sign ONLY your name. I signed "GA, pursuant to DPOA dated ….., for (GA's father) and NOT individually."
Are you familiar with Fiduciary responsibilities? If not, post back and I'll find some resources for you to read.
I think if I were you I would consult with an elder care attorney in your area on this.
The rules may be different in your area.
You may have the ability to use your POA to spend your LO's fund for care but not obligated to send your own funds.
Please check with legal professionals.
I believe you are correct that I should seek legal advice.
Regards..