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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:
Nope. The Adult Day Care here is for those that really need lots of assistance. Mom doesn't fit. Her first surgeries, right arm & left hip, were last Oct 21, 2013 and today is Jul 17, 2014. The first surgeries took a huge toll on me, I thought I was going to end up in the hospital last Dec/Jan. Her 2nd Hip surgery, same hip as last Oct, this time total Hip replacement was last June 11. This 2nd surgery has been so much easier on both of us, she is able to walk, shower, eat, go to bathroom...all by herself. Last Oct thru March/April that was not the case. I need to go for a walk or go for a bike ride today after work, or I could end up in the looney bin.
I called the senior center and talked with them about Mom, as a result they sent her a flyer in the mail, and Mom told me she wanted to go at least once a month! Music to my ears! Also convinced her to go to a elders' excercise group once a week! We are making some real progrss. She's being released from physical therapy this Thurs, and then she can resume going to the Women's group at the Church for social get together and devotionals!
Why is it, when you're close to recovery, you start to break down?
Thanks everyone, it's just nice to know YOU ARE THERE!!!!!
I just signed mom up for Adult Day Care in suburban Chicago. $63 for the day, 7:30 AM to 5:30 PM, including lunch. (I'll be packing mom a lunch since she has to have low/no salt.) I don't particularly like the connotation that goes with Adult Day Care, so I told her she's going to a social club. She's all excited. 87 years old. Mild dementia. Can be quite stubborn. I completely ignore her complaints though. She's been with me a year. She broke her hip, and I saw how well she did in the nursing home for rehab. She liked the social aspect. I just brought her back home from there 3 weeks ago. Her first day at the "social club" is tomorrow. She'll be going once a week. I'm crossing my fingers. (Speaking of connotations, I also don't like the term "Depends" or "diapers." Anyone caring for mom is instructed to call them briefs.)
My significant other of 14 years will be taking her and picking her up. He owns his own taxi. I'd already decided not to take her. She's difficult to maneuver and the wheelchair is so darned heavy. A medi-van would probably cost $100 or a little more for a round trip; so I'm paying Tom $60. I'm delighted. When she leaves, she'll be with Tom -- and I won't see her again for 8 or 9 hours. I'm looking forward to the me 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 called the senior center and talked with them about Mom, as a result they sent her a flyer in the mail, and Mom told me she wanted to go at least once a month! Music to my ears! Also convinced her to go to a elders' excercise group once a week! We are making some real progrss. She's being released from physical therapy this Thurs, and then she can resume going to the Women's group at the Church for social get together and devotionals!
Why is it, when you're close to recovery, you start to break down?
Thanks everyone, it's just nice to know YOU ARE THERE!!!!!
My significant other of 14 years will be taking her and picking her up. He owns his own taxi. I'd already decided not to take her. She's difficult to maneuver and the wheelchair is so darned heavy. A medi-van would probably cost $100 or a little more for a round trip; so I'm paying Tom $60. I'm delighted. When she leaves, she'll be with Tom -- and I won't see her again for 8 or 9 hours. I'm looking forward to the me time.
I'm still trying to get mine to go without threatening to kill people :(