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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
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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:
I am a fiduciary in Canada. All POAs brought into the investment firm I work at, have to go through a thorough compliance screening. If they were not prepared by a lawyer it is likely they will be return NiGO (Not in Good Order) and not accepted.
We advise clients to provide their POA documents when they open their account, not when the document is activated. This gives us time to review the document and point out any issues with it, while the client is still mentally capable of updating or redoing it as needed.
As mentioned above, banks don't give a hoot what your POA says or who prepared it -- they want their POA paperwork filled out.
Go to the person's financial institutions (bank, credit union, broker) WITH the person granting POA, if possible, and fill out their specific paperwork, out of course, get a POA done by an attorney or by Legal Zoom as well.
Some states - Mississippi- require that a signed & notarized POA be filed in county courthouse in order to be valid. So if your state does this, IMO you need to file it at the courthouse. Probably in Chancery Court or whichever court does “equity” filings.
Even if you live in another adjacent state (Louisiana, Tennessee) but own property in Mississippi, if that POA is not filed, a bank, Realtor, title company, insurance adjuster, etc. doesn’t have to recognize the POA as valid.
I had a notary public in Colorado drive over to the ALF where my elderly folks were living, bring over the POA documents, we signed them, someone at the ALF witnessed them, she notarized them, and that was the end of that. This was in 2014 and the POAs are still in use today, with no issues whatsoever. If I remember correctly, she charged us $25.
No, but I would advise you to have the power of attorney drawn up by a lawyer and to have the person who signs it present in attorney office, and questioned by the attorney. There are some who suggest that such forms are available online. However, some banks and other entities are very very scrupulous in managing accounts. Power of Attorney is as strong as it is well written. Or NOT as strong. Take the elder who wishes to make YOU his or her POA to an attorney to draw up relevant papers, and make certain that both the elder and you understand exactly what you are undertaking, and exactly your fiduciary responsibilities are under the law. California doesn't require a POA to be filed in public records. However, some entities and stockbrokers do require a filed POA. Find out the facts for your own state, as states vary.
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.
We advise clients to provide their POA documents when they open their account, not when the document is activated. This gives us time to review the document and point out any issues with it, while the client is still mentally capable of updating or redoing it as needed.
Go to the person's financial institutions (bank, credit union, broker) WITH the person granting POA, if possible, and fill out their specific paperwork, out of course, get a POA done by an attorney or by Legal Zoom as well.
Even if you live in another adjacent state (Louisiana, Tennessee) but own property in Mississippi, if that POA is not filed, a bank, Realtor, title company, insurance adjuster, etc. doesn’t have to recognize the POA as valid.
Take the elder who wishes to make YOU his or her POA to an attorney to draw up relevant papers, and make certain that both the elder and you understand exactly what you are undertaking, and exactly your fiduciary responsibilities are under the law.
California doesn't require a POA to be filed in public records. However, some entities and stockbrokers do require a filed POA. Find out the facts for your own state, as states vary.