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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.
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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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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:
I take care of my mom's finances too. I bought a ledger and list everything and leave it right there on my mom's dresser. There's only my sister and I, (my sister's adopted), but I am glad I keep a ledger, but they're some sneaky folks and I wouldn't put anything past my sister's family. Read Siblings I added something. And it will all work out for you. You saved your receipts. People are really greety aren't they.
you know when they say family are greedy i beleive it. Now my family sued me for 51,000 dollars of what they think my dad had..the way the put it i messed with their inheritance.i could not beleive it now, you know why i will not see my family of course my sister wanted to discuss some things but was this it??? no its that they knew the screwed up..i can't beieive they did this to me i gave up 6 yrs of my life uprooted my family to move in my dads home to take care of him i could not hold a full time job and when i did i missed alot of work so how was i suppose to pay my car note take care of my child without any money? before my dad got really bad in his disease he gave me the permission to use his money i had witness there at the time he told me and it was a outsider that was there so i thought i was pertected but that didn't help much my family accused me of not loving my parents said it loud and clear after the funeral (embarrassing) its a shame i was with my dad from sun up to sun down missed alot my sons activity cause i couldn't get a family to come and sit with (OUR) father for just two hrs......and this is the outcome of how much they really love me..i guess but the thing is they lost out on alot of money if they pick up where i left off after they booted me out of dads house they were suppose to finshed fixing up the house but they didn't they just laid around and suck up the utlilties that were all in dads name raised all his bills which they had to pay off i kept up with my dads bills while i was there convientiently they could take him to his dr appts because he was hard to get in the car well i made planse for a bus that had a handicapped w/c lift in it i just met him at the drs office, cause i couldn't get him in my car any more....but i made the arrangements paid for it but they couldn't follow through with that....so the just didn't take him he was in the hospital 3 times after i move out and i moved out dec 22 of 2008 dad was in the hospital a wk after i move out (amazing) something was wrong with him they wouldn't tell me..but i do know this my oldest brother was gonna sign a blood tranfered for my dad at 83 yrs old..back in 2007 i had a DNR wrote up and my dad signed it i remeber his exact words "do not keep me alive for nothing" i didn't want to do it but it was his choice just like i did for Mom..my brother was being selfish and greedy at the same time..they did all this to me and they still didn't end up with nothing the had the hightest realtors and a lawyer that drained them dry and now they want to squeeze blood for a tullip..i can't believe it i told that lawyer to push it up my brothers....you know... sued me, put me in jail i dnt care i did what i had to do for (OUR) dad to stay a float i took him to dr appts i took him to parks, cementary to vist mom resting place i took my dad every where with me until he couldn't walk very much and i have been with him all that time until summer of 2008 old author sat in on him he was in the w/c more, more..but i got sued i messed with my family inheritance i just can't beleive it they didn't help me do anything but they sure want their money my dad was a good man i did not treat my dad cruel i decribe my dad as the three c's, CALM,COOL,COLLECTED alz patience he was the best one yet and i have taken care of several of special people he didn't fight me he didn't argue with me except the point of him being a man (hahaha)..so why would i not love the man that gave me 47 yrs of my life a good one at that i loved my parents, sorry to say i just don't think my brothers and sister did, all they thought about is how much money they were gonna get and they didn't get nothing....
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.