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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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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:
Twice, the DMV has almost given my mom her license when they have a doctor's report stating she is unfit to drive. I have to go behind my mom's back and tell them to look at their records.
What state is she in? Is she physically or cognitively unfit to drive? I reported my aunt in FL anonymously online due to both. I had her license info, and wrote a lengthy report of all the reasons why her privilege should be revoked immediately. The DMV sent her a letter calling her in for a retest, and my nephew drove her to her appointment. They asked how she got there and she told them. Then she failed the eye exam and they revoked her license.
My advice to you would be to disable or remove or sell her car as soon as possible so that even if she accidentally gets her license, she still can't go anywhere. Who is her PoA? This person can take the lead on getting this done legally.
Mother had a 'breakdown' at the park (tried to start the car when it was still in gear). PoA asked me to confiscate the keys. He told her later that the problem had been with the ignition. Her BS meter went off, but she no longer had the keys. Later, when I cleaned the car, I saw that she'd already had to go to a 'better driver' class.
While it's great the doc made a report and it's also nice if the DMV would do their job, the MOST important factor is to ensure she has NO access to a car. There are plenty of people who lose their licenses and still drive - not legally, but they do it anyway!
No clue why she's unfit to drive, but honestly the ONLY way to keep her off the road is NO access to a car.
My mother lived in a state that required self-reporting dementia. Like that would ever happen, except in rare instances. Most people with dementia deny deny deny. I could get nowhere with the doctors, and suspect the DMV would have been no better. I never even got her license revoked. Here's the issue, if this is dementia related:
YB did all the "talk" and took mom's car key. I merely stood behind him and said nothing. On the way out, I suggested disabling the car as I was sure she had another key. He pulled the battery cable (this won't work with car capable people or those with AAA type service!) The next day, who gets the nasty call? She accused me of taking her key (forgetting everything else) and demanded it back. When I told her I didn't touch her key (truth!), she asked who did. She was SO nasty to me that I said You're so smart, you figure it out and hung up. Day two, NASTIER call demanding I get down there right now and fix whatever I did to her car. So, she DID have another key AND managed to find it, only to have a dead car!!!
Anyone with dementia should not be allowed access to cars. If they are alone, remove the car to a place they won't see it and provide transportation. If they live with someone who has a car, either use The Club or have a kill switch installed. Trying to hide the keys may not work all the time.
Thank you for keeping your mom off the road. A friend in this type of sittuation resolved it by telling the DMV clerks: When you make me go to the local radio station and explain about your incompetence on the daily news segment, you are not going to look too good. So let's work together and get it right. They did.
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.
My advice to you would be to disable or remove or sell her car as soon as possible so that even if she accidentally gets her license, she still can't go anywhere. Who is her PoA? This person can take the lead on getting this done legally.
No clue why she's unfit to drive, but honestly the ONLY way to keep her off the road is NO access to a car.
My mother lived in a state that required self-reporting dementia. Like that would ever happen, except in rare instances. Most people with dementia deny deny deny. I could get nowhere with the doctors, and suspect the DMV would have been no better. I never even got her license revoked. Here's the issue, if this is dementia related:
YB did all the "talk" and took mom's car key. I merely stood behind him and said nothing. On the way out, I suggested disabling the car as I was sure she had another key. He pulled the battery cable (this won't work with car capable people or those with AAA type service!) The next day, who gets the nasty call? She accused me of taking her key (forgetting everything else) and demanded it back. When I told her I didn't touch her key (truth!), she asked who did. She was SO nasty to me that I said You're so smart, you figure it out and hung up. Day two, NASTIER call demanding I get down there right now and fix whatever I did to her car. So, she DID have another key AND managed to find it, only to have a dead car!!!
Anyone with dementia should not be allowed access to cars. If they are alone, remove the car to a place they won't see it and provide transportation. If they live with someone who has a car, either use The Club or have a kill switch installed. Trying to hide the keys may not work all the time.
The license is truly the least of your worries!