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:
If mom signed off to make sissy her DPOA, MPOA and mom was competent & cognitive at the time, your options are limited. - you could go to court to become moms guardian. It is not a DIY and you need an atty experienced in guardianships - you put on your best Nancy Drew and clearly find documentation that mom is being taken advantage of and then you provide that info to the local adult Protective Services. APS will do an investigation. & if warranted mom removed from the home and made a ward of the state till guardianship or change in DPOA done.
If the tales of woe are being told to you by mom and mom has dementia or is a narcissist & manipulative type, they may or may not be accurate. This site is littered with posts by families of parents who loudly complain to other family about the meanness of the DPOA; that dpoa sissy took away moms checkbook (cause mom was writing checks to charities for $ that mom really could not afford); that dpoa Sissy won't take her out (cause mom gets belligerent & is incontinent and refuses to wear Tenas or goes & takes them off at restaurant, Target, etc.); that DPOA sissy forces her to take drugs (cause mom spit out the Exelon and sissy now puts exelon patches on moms back where she can't reach).
Sissy could be the devil but Sissy may just be doing her best with a mom with dementia who will be a martyr to anyone who will listen....
thanks, i have conisdered all this , mom is alztimers and demitia, she signed a will 3 three years ago at her dr recommendation, she was with us enough to know what she was doing, now is different, she does not, i do not think my sis is mean, she just is not qualified and is creating a nightmare, she has already taken thousands for personal like like giving to her daughter and now has disposed of two of my mothers properties , she has become power mad and very selfish all is a big secret, she refuses to show the will or documents my mother signed, she is attempting to prevent me from visiting my mom due to the secrets she is keeping, if all was on the up and up why the cover ups. anyway i do not want my mom taken out of the home, she has a housekeeper from hell that my sis hired, she and my sis have taken everything they could carry out of my mothers house, things are not right and my mom is in a fog, when i ask her about things she does not know they happened, my sis , took her bank card so she could not order take out, my mother does not deserve this , she order food because she was hungry. and yes out family is very dysfunctional, but it is very hard to close my eyes to this , when my sis leaves my mom with nothing, she will be a ward of the state and her life will be living in a 4th rate nursing home , that is my concern
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.
- you could go to court to become moms guardian. It is not a DIY and you need an atty experienced in guardianships
- you put on your best Nancy Drew and clearly find documentation that mom is being taken advantage of and then you provide that info to the local adult Protective Services. APS will do an investigation. & if warranted mom removed from the home and made a ward of the state till guardianship or change in DPOA done.
If the tales of woe are being told to you by mom and mom has dementia or is a narcissist & manipulative type, they may or may not be accurate. This site is littered with posts by families of parents who loudly complain to other family about the meanness of the DPOA; that dpoa sissy took away moms checkbook (cause mom was writing checks to charities for $ that mom really could not afford); that dpoa Sissy won't take her out (cause mom gets belligerent & is incontinent and refuses to wear Tenas or goes & takes them off at restaurant, Target, etc.); that DPOA sissy forces her to take drugs (cause mom spit out the Exelon and sissy now puts exelon patches on moms back where she can't reach).
Sissy could be the devil but Sissy may just be doing her best with a mom with dementia who will be a martyr to anyone who will listen....