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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.
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Oh... I have the best solution to this issue. I started by getting my mom to see a geriatric physician and I had faxed them a list of concerns - one of them being driving. The doctor recommended a service which was run by a local hospital which would give my mom feedback on how well she was driving. The doctor said, "don't you want everyone to know how well you are driving and you are still capable?" She said yes and then we made the appointment with the hospital. The service was run as part of the brain-injury section of the rehabilitation unit. They did a series of cognative tests (e.g. drawing a picture of a clock, dot-to-dots) and then they put my mom in a simulator. Of course she flunked both the cognative and driving portion of the program and then they told her that she really wasn't safe to drive. Put that way, she was concerned for her own safety and gave up the keys.
Getting a parent to give up the keys is one of the most difficult aspects of caregiving because their ability to drive represents freedom and independence for them. Before you begin speaking to them about not driving, be sure that you have some alternatives in place for them....for instance, a concierge service, offers to take them to where they need to go, bus routes (if they are capable), senior companion services, etc. Here is a link to a resource workbook that is excellent called "Beyond Driving with Dignity" - http://keepingussafe.org/workbookic.htm
You could also speak with your parent's physician and ask that they request a driving assessment from a neighborhood resource or from an occupational therapist.
Giving up the keys is a sad part of life and must be dealt with in a delicate way.
I am facing this situation with my 83 yr. old father. For the past year, I have tried to get him to realize that his driving was not only unsafe for him, but for others as well. I had spoke with his Dr. about my concerns, but he threw me under the bus, (no pun intended) by telling my Dad that I spoke to him.
Then just yesterday, Dad had another fender bender, and also left the scene of the accident. Luckily no one was seriously hurt. He thought the other person took off, but turned out she was hit by another car. He was flustered & confused, so he came home.
I called the police immediately to report it. When the officer showed up I greeted him at the car and asked him that if it turns out to be my dad's fault, report is name to the state.
The police issued him 2 tickets that will accumulate enough points on his license to require him to retake his drivers test. I really don't think he will pass. Too many laws have changed within the past 65 years since he last took the test to drive.
The funny thing is, he doesn't realize the situation he is in, and has asked me this morning, if I can take him to go get a rental care, while his car is in the shop.
After my mom was involved in 5 accidents one year, the State Highway Patrol sent her name in to the state. I took away her keys. I had obtained two doctor statements that she should not be driving. She was summoned to take a written and driving test. Before the summons she found the keys and tried to bite me when I tried to take them away. I called my brother who came over and disconnected the battery cable and distributor cap. She failed both the written and driving portions of the test, and her license was taken from her. Then the state officially notified her that she was unable to drive. I had POA over her finances, so, when that happened, my brother helped me sell the car. I notified her after the sale was completed. She was upset, but I promised to take her wherever she needed to go. It's not easy. Sometimes the elderly decided on their own to give up driving, but when they don't, you have to take matters into your own hands. Even when other relatives or the workers at the BVM tell you what a terrible son or daughter who are for taking away your parent's driving privileges.
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.
The doctor recommended a service which was run by a local hospital which would give my mom feedback on how well she was driving. The doctor said, "don't you want everyone to know how well you are driving and you are still capable?" She said yes and then we made the appointment with the hospital. The service was run as part of the brain-injury section of the rehabilitation unit. They did a series of cognative tests (e.g. drawing a picture of a clock, dot-to-dots) and then they put my mom in a simulator. Of course she flunked both the cognative and driving portion of the program and then they told her that she really wasn't safe to drive. Put that way, she was concerned for her own safety and gave up the keys.
Before you begin speaking to them about not driving, be sure that you have some alternatives in place for them....for instance, a concierge service, offers to take them to where they need to go, bus routes (if they are capable), senior companion services, etc.
Here is a link to a resource workbook that is excellent called "Beyond Driving with Dignity" - http://keepingussafe.org/workbookic.htm
You could also speak with your parent's physician and ask that they request a driving assessment from a neighborhood resource or from an occupational therapist.
Giving up the keys is a sad part of life and must be dealt with in a delicate way.
Best of luck,
Shelley
Then just yesterday, Dad had another fender bender, and also left the scene of the accident. Luckily no one was seriously hurt. He thought the other person took off, but turned out she was hit by another car. He was flustered & confused, so he came home.
I called the police immediately to report it. When the officer showed up I greeted him at the car and asked him that if it turns out to be my dad's fault, report is name to the state.
The police issued him 2 tickets that will accumulate enough points on his license to require him to retake his drivers test. I really don't think he will pass. Too many laws have changed within the past 65 years since he last took the test to drive.
The funny thing is, he doesn't realize the situation he is in, and has asked me this morning, if I can take him to go get a rental care, while his car is in the shop.