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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.
✔
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:
no housework or cooking required. just go on errands and grocery shopping with me. Mostly need company. Maybe play cards and or games once in a while. I still drive and take care of myself.
Why don't you go to a local senior center, or join some clubs that meet in the daytime or do some volunteerism? This way you can shop for companions and friends in a safer, less committed way. Once you get a weirdo roommate that makes your life a living hell and then have to evict, the shine comes off the whole "roommate/companion" thing.
I am about to apply. I am kidding you here, Uesh, but the truth is that advertising your availability in your area is a great idea. Be certain you speak with and have contract with someone you invite into your home, as once you do that they are THERE and your home is theirs. You need a solid rental agreement drawn up and agreements as to amounts of privacy, cleanliness requirements, and etc. This is a great idea but it requires a whole lot of careful vetting of applicants! Advertise in Nextdoor or in advertising opportunities in your area and I wish you the best of luck.
Why does it have to be a live in? Maybe someone else is also looking for companionship as well to get together sometimes but keep separate homes to keep it less complicated .,
Hi! We usually see problems ahead with a live-in arrangement. Of course we hear about things that don’t work. No care for you expected now, but ‘room mate’ is expected to help if needed? Time commitments that aren’t flexible? Money – either from you for care you receive or to you for rent or contributions? No cooking or housework - but who is going to do it? How to terminate if it doesn’t work out?
Live-in arrangements can turn very nasty indeed, with the unpaid ‘tenant’ having no cash to ‘escape’. Or alternatively the live-in can end up with occupancy rights you didn’t expect. Of course, that’s not what you have in mind, but it sometimes turns out that way. It’s a problem if nothing is in writing.
Perhaps it might be worth trying out with a smaller commitment. A couple of days per week of company, with free lunch thrown in? A paid companion for set hours? For evening company, a student might be good – with termination at the end of the college year, which solves a few‘rights’ issues. Trying out might give you clearer ideas about the terms you might use for a bigger commitment.
Some One Placed a Ad on Craigslist Basically Looking For Companionship and Doing activities Together . I Would suggest watching The 2 Documentaries Worst roommate ever . You Could Hire someone From Care.com , Check out a senior center , Find a College Intern , Join a gardening Club . In Boston we have Nesterly.com where There is a exchange for a room In order to have a younger person help you with errands . In these days You really have to do back ground checks . I am hesitant To have a stranger in my Home . There are interns too going to school Looking for a Place . Is There any Social clubs Nearby like a Polish Club ? Your best bet maybe to go on a cruise and Make some friend's you can socialize with in The future
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.
Why don't you go to a local senior center, or join some clubs that meet in the daytime or do some volunteerism? This way you can shop for companions and friends in a safer, less committed way. Once you get a weirdo roommate that makes your life a living hell and then have to evict, the shine comes off the whole "roommate/companion" thing.
Maybe someone else is also looking for companionship as well to get together sometimes but keep separate homes to keep it less complicated .,
Live-in arrangements can turn very nasty indeed, with the unpaid ‘tenant’ having no cash to ‘escape’. Or alternatively the live-in can end up with occupancy rights you didn’t expect. Of course, that’s not what you have in mind, but it sometimes turns out that way. It’s a problem if nothing is in writing.
Perhaps it might be worth trying out with a smaller commitment. A couple of days per week of company, with free lunch thrown in? A paid companion for set hours? For evening company, a student might be good – with termination at the end of the college year, which solves a few‘rights’ issues. Trying out might give you clearer ideas about the terms you might use for a bigger commitment.
Good luck if you go ahead!