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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.
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When my Mom went into the nursing home, I had to activate her Long Term Care Insurance. So I visited our insurance agent and he talked to the insurance company and told them that who he was and that I was in the room and then he handed the phone to me and I gave my permission for the insurance company to talk to my insurance agent. I was able to get some information that day without sending them the Durable POA document. Once I sent the POA document to the insurance company, then I was able to get more "private financial" information. The insurance company may ask your mother to "listen in" to the conversation if she can.
"bicycler" has done an excellent job of describing the POA and guardianship to you. I would suggest that you Google the Judicial Department for your state for POA and Guardianship information as each state has different requirements. You should be able to find a flowchart about the process along with all of the documents that will need to be completed for POA, guardianship and conservatorship. If your Mother has a farm or a business, then some states will require that you become the guardian and conservator.
I have Durable POA for my Mom, but she became delusional and a "By-the-Book" Social Service Assistant at the nursing home where Mom is believed Mom's delusions and helped Mom change her POA because Mom would cry whenever I visited or phone her. Also, Mom and I "growled" at each other a few times because I tried to redirect Mom or tried to correct Mom's delusional thinking and Mom got angry at me. So I had to petition for guardianship of Mom. An "Attorney Ad Lidem" or "Temporary Attorney" was assigned by the court to represent Mom (Luckily she was a Elder Law Attorney.) After several attorney meetings over 5 months, the Attorney Ad Lidem decided that my Mom did NOT know what she was doing when she changed her POA so the POA reverted back to me. It cost our family almost $15,000. If I had had to become my Mom's guardian and conservator (because of our farms), it would have cost close to $25,000 and I would have had to be "bonded" which cost another $10,000. So God was watching over us and I was reassigned my Mom's Durable POA. Thank God.
Good Luck and God Bless on your "journey" to obtain guardianship of your Mother.
Jeffsponaugle, my experience with my dad's insurance companies is that if they could talk to him on the phone to get his permission for them to talk to me, then they would talk to me. That might work for you and would be the quickest solution to your immediate need.
However, a durable power of attorney (DPOA) is a more permanent and better solution and unless your mother has been declared incompetent by a court, she may still be sufficiently competent to sign such a document. DPOAs need to be notarized and ethical notaries public won't notarize documents if they think a person does not understand the document being signed, but having just an Alzheimer's diagnosis does not automatically make a person incompetent. Eventually your having a DPOA for both health care and financial affairs (or guardianship and conservatorship) will become necessary as your mother's Alzheimer's dementia progresses.
Guardianship will probably cost several thousand dollars and result in you having to keep good records and file at least annual reports with a court. It's a last-resort solution, but also the hardest for anyone to overcome and cause trouble in the future. I don't recommend guardianship unless you've already tried and failed to get DPOA or you're otherwise certain that you can't get DPOA, or you have siblings, or your mother has other relatives, who are likely to cause you and/or her problems in the future.
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.
"bicycler" has done an excellent job of describing the POA and guardianship to you. I would suggest that you Google the Judicial Department for your state for POA and Guardianship information as each state has different requirements. You should be able to find a flowchart about the process along with all of the documents that will need to be completed for POA, guardianship and conservatorship. If your Mother has a farm or a business, then some states will require that you become the guardian and conservator.
I have Durable POA for my Mom, but she became delusional and a "By-the-Book" Social Service Assistant at the nursing home where Mom is believed Mom's delusions and helped Mom change her POA because Mom would cry whenever I visited or phone her. Also, Mom and I "growled" at each other a few times because I tried to redirect Mom or tried to correct Mom's delusional thinking and Mom got angry at me.
So I had to petition for guardianship of Mom. An "Attorney Ad Lidem" or "Temporary Attorney" was assigned by the court to represent Mom (Luckily she was a Elder Law Attorney.) After several attorney meetings over 5 months, the Attorney Ad Lidem decided that my Mom did NOT know what she was doing when she changed her POA so the POA reverted back to me. It cost our family almost $15,000. If I had had to become my Mom's guardian and conservator (because of our farms), it would have cost close to $25,000 and I would have had to be "bonded" which cost another $10,000. So God was watching over us and I was reassigned my Mom's Durable POA. Thank God.
Good Luck and God Bless on your "journey" to obtain guardianship of your Mother.
However, a durable power of attorney (DPOA) is a more permanent and better solution and unless your mother has been declared incompetent by a court, she may still be sufficiently competent to sign such a document. DPOAs need to be notarized and ethical notaries public won't notarize documents if they think a person does not understand the document being signed, but having just an Alzheimer's diagnosis does not automatically make a person incompetent. Eventually your having a DPOA for both health care and financial affairs (or guardianship and conservatorship) will become necessary as your mother's Alzheimer's dementia progresses.
Guardianship will probably cost several thousand dollars and result in you having to keep good records and file at least annual reports with a court. It's a last-resort solution, but also the hardest for anyone to overcome and cause trouble in the future. I don't recommend guardianship unless you've already tried and failed to get DPOA or you're otherwise certain that you can't get DPOA, or you have siblings, or your mother has other relatives, who are likely to cause you and/or her problems in the future.