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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.*
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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:
The client needs to call the office and let office staff know that you are not needed for that day.
I had a client like this at another agency and currently have a client that does this now. I have shown up at his home and he would not come down to open the door to let me in. One time I got to his home, and he called the office the exact time I was due to get there. I'm noticing that he calls off at least one day a week I'm scheduled to work with him. Work piles up with dirty dishes and trash is all over the floor. I'm ready to get rid of this client. Sudden call offs are annoying and plus it shortens your check. This happens a lot when a person is not paying for a service. It keeps an aide tied up from helping someone who really needs and would appreciate the help. This same client got a free cooked turkey with all of its trimmings. He ate a few slices and had me take the entire turkey to the trash can. He got rid of the stuffing and everything else the next day. Now, there is a family who probably went without a meal and could have enjoyed a twenty pound turkey.
Some agencies will compensate you for missed hours especially when you show up and the client either is not home or refuse to open the door. Now if they are in the hospital, you may not get paid other than for travel time.
You will need to have a talk with your clients. If you are working independently, that is to say a private hire--you will set what your limits are, and your availability.
If you require a certain number of hours (some agencies insist on four hours a week, three days a week minimum) in order to live then that is what you explain.
I can understand if this happens seldom, or happens, let us say when the elder goes to hospital and some such, but just to cancel you when you have no other job lined up because THIS Job is lined up, then that isn't fair.
I would say that you expect a schedule made one month in advance. If cancellations are necessary you might ask for 1/2 your salary or 1/4 you salary, and let the client know that you cannot continue with people who cancel you frequently.
This is all quite difficult for you to work out, what might work for you; and the rules need to be discussed ahead of time.
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 had a client like this at another agency and currently have a client that does this now. I have shown up at his home and he would not come down to open the door to let me in. One time I got to his home, and he called the office the exact time I was due to get there. I'm noticing that he calls off at least one day a week I'm scheduled to work with him. Work piles up with dirty dishes and trash is all over the floor. I'm ready to get rid of this client. Sudden call offs are annoying and plus it shortens your check. This happens a lot when a person is not paying for a service. It keeps an aide tied up from helping someone who really needs and would appreciate the help. This same client got a free cooked turkey with all of its trimmings. He ate a few slices and had me take the entire turkey to the trash can. He got rid of the stuffing and everything else the next day. Now, there is a family who probably went without a meal and could have enjoyed a twenty pound turkey.
Some agencies will compensate you for missed hours especially when you show up and the client either is not home or refuse to open the door. Now if they are in the hospital, you may not get paid other than for travel time.
If you are working independently, that is to say a private hire--you will set what your limits are, and your availability.
If you require a certain number of hours (some agencies insist on four hours a week, three days a week minimum) in order to live then that is what you explain.
I can understand if this happens seldom, or happens, let us say when the elder goes to hospital and some such, but just to cancel you when you have no other job lined up because THIS Job is lined up, then that isn't fair.
I would say that you expect a schedule made one month in advance. If cancellations are necessary you might ask for 1/2 your salary or 1/4 you salary, and let the client know that you cannot continue with people who cancel you frequently.
This is all quite difficult for you to work out, what might work for you; and the rules need to be discussed ahead of time.