Are you sure you want to exit? Your progress will be lost.
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.*
✔
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:
In today's episode of Tinyblu's never ending drama, she received a call from a VA fiduciary officer in response to "concern" from my ex-step mom (long story).
I detached from her as much as possible after my brother's death, but since she and her new husband (yes, a REALLY strange story) are the only ones who actually visit Dad once a month, I feel the need to at least be cordial...
Remember that trip I just came back from? Well, she got wind of it. Apparently one of my very few FB friends must know her and she saw two pictures I posted from my trip.
Apparently, she thinks that if I can afford a trip to the Carribean, Dad's funds are mismanaged and should be "investigated more seriously". Did I mention that she works for the VA??
Anywho, now I have to complete additional paperwork, etc. in addition to the yearly report I already provide. Despite me showing that Dad's AL rent exceeds his VA benefits, they want additional documentation.
#^&Y@(Y$&^*@^&*(#@^!!!!!!!!!! I have nothing to hide, so that's not the issue. I just don't want to go through the hassle of getting all of this nonsense together.
...stay tuned for more episodes of "Tinyblu's Dysfunctional Family".
Sometimes, Tinyblu, the best defense really is a good offense.
If she works for the VA, you can have her ethics and motives brought into question, adding that a former "family" member has no right to access your private financial records and her concerns are born out of jealousy and revenge. At her job, if she uses this to have you investigated, that can lead to her dismissal.
Copy Dad's income, Dad's expense at AL, write "see attached" on the lousy forms, and send it in with your letter, well worded, of accusations against her. imo.
Maybe I don't have enough information to respond, but she is your Dad's ex?
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 detached from her as much as possible after my brother's death, but since she and her new husband (yes, a REALLY strange story) are the only ones who actually visit Dad once a month, I feel the need to at least be cordial...
Remember that trip I just came back from? Well, she got wind of it. Apparently one of my very few FB friends must know her and she saw two pictures I posted from my trip.
Apparently, she thinks that if I can afford a trip to the Carribean, Dad's funds are mismanaged and should be "investigated more seriously". Did I mention that she works for the VA??
Anywho, now I have to complete additional paperwork, etc. in addition to the yearly report I already provide. Despite me showing that Dad's AL rent exceeds his VA benefits, they want additional documentation.
#^&Y@(Y$&^*@^&*(#@^!!!!!!!!!! I have nothing to hide, so that's not the issue. I just don't want to go through the hassle of getting all of this nonsense together.
...stay tuned for more episodes of "Tinyblu's Dysfunctional Family".
GOOD GRIEF!!!!
If she works for the VA, you can have her ethics and motives brought into question, adding that a former "family" member has no right to access your private financial records and her concerns are born out of jealousy and revenge. At her job, if she uses this to have you investigated, that can lead to her dismissal.
Copy Dad's income, Dad's expense at AL, write "see attached" on the lousy forms, and send it in with your letter, well worded, of accusations against her. imo.
Maybe I don't have enough information to respond, but she is your Dad's ex?