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:
A durable POA is a financial power of attorney that has a provision that states that the document will remain valid and in effect if the principal (the person granting the POA) becomes incapacitated and unable to make their own decisions. If it doesn't contain that provision of durability, it will end when the person is deemed incapacitated. In my legal work at a financial company, 99% of the POAs are durable POAs.
A medical POA is a power of attorney that allows someone to make health decisions on your behalf if you are unable to do so. It does not permit anyone to make financial decisions on your behalf. However, some durable POAs may contain authority to make medical decisions in addition to financial transactions. Others make two separate documents.
A general POA - At my job, some people call a non-statutory financial POA a "general POA", but others (including myself) call a POA without a durability provision a general POA.
Not sure if that helps - I look at POAs several times a day at work (I'm in legal) and train other employees as to how to read a POA. Sometimes, the durable/general/statutory/non-statutory/limited POAs can get a bit confusing. As I tell people during training, the title of the document helps, but read the POA to discover what kind of POA it really is!
In some states there is also a Mental Health POA for all types of mental health issues including dementia.
Also know that there is a difference between Durable POA and a Springing POA. A SPOA only kicks into effect when the issue described in the document happens. Life if a person becomes incapacitated.
The basic between a general and a durable is that a durable remains effective even when the one giving the authority become mentally incompetent. The general or durable may be for any area i.e medical or financial.
The Medical POA may be of durable or general nature but gives authority only for medical issues. Sometimes there are specific types of Medical POAs such as giving full authority to make choices or only in regard to life support and feeding tubes.
jbcylnc you are correct about SSA not accepting a POA. They require a special consent be placed on file with them for these purposes. It must be done while the person for whom it is needed is still able to grant consent. It really makes a mess for anyone with the POA trying to handle affairs and the consent wasn't granted in advance. I found out the hard way.
In AZ there is also a Durable Mental Health POA, this is non revocable as it covers mental illness and im sure it has been discovered that people in the middle of a mental issue often change their minds and refuse service.
Rebecca gave the clearest explanations, general POA becomes invalid if your LO develops dementia or has a stroke or brain bleed (incapacitated), just when you need it most it is no good. Get Durable POAs whenever you can.
I think the only thing to add to this is that the POA document must be notarized by a notary public when the elder provides a VALID photo ID. I state valid because my mother had let her for-id-purposes-only motor vehicle administration ID lapse/or it was not in date. She got lucky when the notary public used her COB (Commissioner of the Blind) photo ID. Also file a copy of the POA doc with the elder's doctor.
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.
A medical POA is a power of attorney that allows someone to make health decisions on your behalf if you are unable to do so. It does not permit anyone to make financial decisions on your behalf. However, some durable POAs may contain authority to make medical decisions in addition to financial transactions. Others make two separate documents.
A general POA - At my job, some people call a non-statutory financial POA a "general POA", but others (including myself) call a POA without a durability provision a general POA.
Not sure if that helps - I look at POAs several times a day at work (I'm in legal) and train other employees as to how to read a POA. Sometimes, the durable/general/statutory/non-statutory/limited POAs can get a bit confusing. As I tell people during training, the title of the document helps, but read the POA to discover what kind of POA it really is!
Also know that there is a difference between Durable POA and a Springing POA. A SPOA only kicks into effect when the issue described in the document happens. Life if a person becomes incapacitated.
The Medical POA may be of durable or general nature but gives authority only for medical issues. Sometimes there are specific types of Medical POAs such as giving full authority to make choices or only in regard to life support and feeding tubes.
Rebecca gave the clearest explanations, general POA becomes invalid if your LO develops dementia or has a stroke or brain bleed (incapacitated), just when you need it most it is no good. Get Durable POAs whenever you can.