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.
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I acknowledge and authorize
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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:
I am referring to Medicaid financial documents for Mother who has dementia? Should it be just my name or My Mothers name signed for by daughter as POW?
Are you speaking of POA? Power of Attorney? If so you sign in this way. Let us assume your mother is named Alva Deer, and you are named Baby Deer and are legally her POA. You sign Alva Deer (her name) by Baby Deer as POA.
Now just let me add here that if you are not fully informed about how to be a POA you need to GET informed. See an Elder Law Attorney which is paid for by your POA. You have a right to expert advise. You also have a LEGAL financial Fiduciary duty under the law and will/can/may be held accountable in the courts. You cannot do this if you don't know what you are doing because you are legally accountable to keep meticulous records. Many of these things, such as your question today, are simply looked up online. But there is so much more to this tough duty of care.
Never sign your own name onto anything. It is HER name you are signing. You need financial accounts correctly set up.
Please seek legal help. You cannot afford to go wrong here.
POA - power of attorney. I was told to sign "cwillie as POA for mom's name" but there are other variations. NEVER just your own name as that implies you are signing as yourself and taking sole responsibility for finances.
https://nyestateslawyer.com/how-to-sign-as-power-of-attorney-agent/ How To Sign as a Power of Attorney | Lawrina https://lawrina.org/templates/power-of-attorney/how-to-sign-as-a-power-of-attorney/ How to Sign as Power of Attorney for Your Elderly Parent https://www.agingcare.com/articles/how-to-sign-as-power-of-attorney-for-your-elderly-parent-443408.htm Signing Documents as a Power of Attorney Agent - forms.legal https://forms.legal/blog/signing-documents-as-a-power-of-attorney-agent/ How to Sign as Power of Attorney - Ogborne Law https://ogbornelaw.com/how-to-sign-as-power-of-attorney/
Thank you so much for all the info. I will study the Links. I did mean to type POA not POW , So glad you read through that. Much appreciation for your thoughtful insight.
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.
If so you sign in this way. Let us assume your mother is named Alva Deer, and you are named Baby Deer and are legally her POA. You sign Alva Deer (her name) by Baby Deer as POA.
Now just let me add here that if you are not fully informed about how to be a POA you need to GET informed. See an Elder Law Attorney which is paid for by your POA. You have a right to expert advise. You also have a LEGAL financial Fiduciary duty under the law and will/can/may be held accountable in the courts. You cannot do this if you don't know what you are doing because you are legally accountable to keep meticulous records.
Many of these things, such as your question today, are simply looked up online. But there is so much more to this tough duty of care.
Never sign your own name onto anything. It is HER name you are signing. You need financial accounts correctly set up.
Please seek legal help. You cannot afford to go wrong here.
How To Sign as a Power of Attorney | Lawrina
https://lawrina.org/templates/power-of-attorney/how-to-sign-as-a-power-of-attorney/
How to Sign as Power of Attorney for Your Elderly Parent
https://www.agingcare.com/articles/how-to-sign-as-power-of-attorney-for-your-elderly-parent-443408.htm
Signing Documents as a Power of Attorney Agent - forms.legal
https://forms.legal/blog/signing-documents-as-a-power-of-attorney-agent/
How to Sign as Power of Attorney - Ogborne Law
https://ogbornelaw.com/how-to-sign-as-power-of-attorney/