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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:
Contact Planned Parenthood immediately. They can give you a physical checkup to tell you if it warrants more examination. And they may be able to get you free or inexpensive mammogram. They were a godsend for me in college.
Check the web and see if you have any not-for-profit hospitals in your area. If you do, they should have a patient assistance program which you should qualify for. Some have a lot higher income qualifications than you would believe. Without insurance you may qualify to have all of it written off, or 75%, etc. I work at a not for profit hospital so I know.
Dooes your state have services for Vision and Hearing Impaired . Check your state web site....give them a call and see if she qualifies. Due to the fact my mon has macular degeneration and is also losing her eyesight, they are setting her up for a visit for a hearing test in a neighboring town. They are going to pick her up and take her there, and it will only cost her $250 for the hearing aid and everything.
I take my mom to Advanced Hearing Centers of America, they do free hearing checks. She purchased her hearing aids there as well and now they give her free batteries when she needs them, cleans them, free check ups every four months or as necessary. I can't say enough good things about them. I don't know where else they have offices...know for sure they are here in Florida. Good luck!
There are many hearing centers that will do free screenings. They want to sell you the hearing aids. You might take her to a couple just so you know the results are true and they are not telling you she needs a hearing aid just to get you to buy one. And check with Medicare. The laws have changed with Obamacare, and I believe well check ups and other items are now covered. The coverage for hearing may have changed for the better too.
Sorry I'm off subject a bit.....I found a lump in my breast and am looking for a place that gives free mammograms. Seems I saw that not too long ago. I had one about 6 months ago which didn't show anything. Then I had insurance, now I only have catastrophic insurance. Being a caregiver and not paid.
A number of hearing centers will do free hearing checks, as they hope to sell you hearing aids. I have taken relatives to Sears for hearing checks. Also, to other hearing centers--free checks of hearing. I took DH to bot Sears and to another one, for free checkups, THEN he got hearing checked by his company ...there were a few small discrepancies, but that showed that he got fair hearing checkups, ... because he later had to file for hearing damages from work, and got hearing aids and batteries, for life, paid for by company L&I.. Companies that are paying lifetime L&I claims, can also try to wiggle out of continued coverage of stuff like that--we met a guy who's hearing claim was being contested by the same company--he was going thru Mediation to reinstate his claim. [[loud factory noises damaged hearing--hello?! not likely hearing will improve!]]
Something else to know is in most big cities elderly can get free hearing aid home phones. Call a local hearing aid doctor and they usually have the form and contact information.
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 took DH to bot Sears and to another one, for free checkups, THEN he got hearing checked by his company
...there were a few small discrepancies, but that showed that he got fair hearing checkups,
... because he later had to file for hearing damages from work, and got hearing aids and batteries, for life, paid for by company L&I..
Companies that are paying lifetime L&I claims, can also try to wiggle out of continued coverage of stuff like that--we met a guy who's hearing claim was being contested by the same company--he was going thru Mediation to reinstate his claim. [[loud factory noises damaged hearing--hello?! not likely hearing will improve!]]