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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
✔
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:
Go to a trust and estate attorney, and they'll get you all set up. Be sure to appoint a successor trustee to take over the administration of the trust, because you never know which one of you might go first.
Be VERY careful about who you choose. If you can stay within the family and not hire a corporate trustee, that's best. We've had a nightmare experience with two "trust" companies, one of which has the logo "Trust. It's in our name". So it is but it's definitely not in their actions. The first co. was asked to sell a piece of property that was draining funds. The trust officers tried to shame us by saying "well, it's not that much money. $200k is not "that much money"?!! Then, when we complained to the attorney months later, she told the trust to get it done, so they agreed to list the house. We asked them for a date and they said Nov. 1st (that was 2019). When Nov. 1st came and went they changed it to Dec. 1st, then Jan 3rd, but never did it. The lying was worse than not selling it. And they'd been charging $17k just to pay bills, which they often paid late! So, I went on a search for a new trust company. There were few local ones and two of them said there wasnt enough money left. When I found a new trust co., we interviewed the lone trust officer but chose her MUCH too quickly and without enough substantial information. A few months after being hired, she lied in email about paying a health insurance policy I found out weeks later had actually lapsed. A week later we were told she'd let a life insurance policy lapse, and THEN she didn't send paperwork to a CPA to get income taxes filed. She was incompetent, so an attorney removed her as trustee. Two weeks later, we received a notice in the mail that she and her bank were suing!! She claimed I was "uncooperative" but didn't say how and didn't mention the 20 times out of 21 that she asked me for files or accounts that I gave her right away. She said that I was condescending, showing a single email in which I said I wanted less talk and more action. She failed to mention the two times she'd called me and refused to let me finish with Dad's hospice nurse, saying her needs were more urgent. I can't sue for defamation because I have to proof loss of a job or income from the slander. I'm an unpaid caregiver so I'm losing nothing but my inheritance. My parents will lose over $30k in attorney fees and will have to file for bankruptcy but they can't sue because she didn't slander them. I never knew bank employees could be so vicious and vindictive over being fired for doing a bad job. Trust companies are useless, self-serving and crooked, in our experience.
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.
We've had a nightmare experience with two "trust" companies, one of which has the logo "Trust. It's in our name". So it is but it's definitely not in their actions.
The first co. was asked to sell a piece of property that was draining funds. The trust officers tried to shame us by saying "well, it's not that much money. $200k is not "that much money"?!!
Then, when we complained to the attorney months later, she told the trust to get it done, so they agreed to list the house. We asked them for a date and they said Nov. 1st (that was 2019). When Nov. 1st came and went they changed it to Dec. 1st, then Jan 3rd, but never did it. The lying was worse than not selling it. And they'd been charging $17k just to pay bills, which they often paid late!
So, I went on a search for a new trust company. There were few local ones and two of them said there wasnt enough money left.
When I found a new trust co., we interviewed the lone trust officer but chose her MUCH too quickly and without enough substantial information. A few months after being hired, she lied in email about paying a health insurance policy I found out weeks later had actually lapsed. A week later we were told she'd let a life insurance policy lapse, and THEN she didn't send paperwork to a CPA to get income taxes filed. She was incompetent, so an attorney removed her as trustee. Two weeks later, we received a notice in the mail that she and her bank were suing!!
She claimed I was "uncooperative" but didn't say how and didn't mention the 20 times out of 21 that she asked me for files or accounts that I gave her right away. She said that I was condescending, showing a single email in which I said I wanted less talk and more action. She failed to mention the two times she'd called me and refused to let me finish with Dad's hospice nurse, saying her needs were more urgent.
I can't sue for defamation because I have to proof loss of a job or income from the slander. I'm an unpaid caregiver so I'm losing nothing but my inheritance.
My parents will lose over $30k in attorney fees and will have to file for bankruptcy but they can't sue because she didn't slander them.
I never knew bank employees could be so vicious and vindictive over being fired for doing a bad job.
Trust companies are useless, self-serving and crooked, in our experience.