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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
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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:
Personally, I've had a couple bad experiences with automatic deductions so I no longer do it - haven't in years. The problem that came up was that I couldn't get the company(s) to stop the psyments long after I terminated the service. Numerous phone calls, letters, talking to my banks - in one case it took eight months to get the withdrawals to stop - then another few months to get the money refunded. Such a hassle!
08/25/16.... Be careful when closing the bank account if there is an auto pay on that account.... make sure other arrangements are already set in stone for payment, otherwise the facility can charge a return check type fee. I learned that when I closed my parents bank accounts [they had bank accounts scattered everywhere] and opened new accounts at one bank... I didn't realize how many auto pays they had on the old accounts, had a few return check fees. Oops.
My Dad has Agency caregivers, and the only way payment can be made is through auto pay. Been doing this for a year now, have had zero problems. It is pulled from my own checking account, then I get reimbursement when I write a check from my Dad's checking account. Have to keep tight records.
If you log onto the bank account and have them send a check to the AL facility you will have a nice record of payments. If you have them automatically deduct the amount from the account and you eventually want to change AL facilities you will not be able to unless you beg them to stop withdrawing money from the account. You can check this out with the bank. If they insist on automatic withdrawal you can have it put on a debit card. If you want to terminate the arrangement you will have to cancel the card or close the bank account (if it was taken directly from the bank). It is easier to cancel a debit card. Under NO circumstances should you let anyone withdraw directly from your account. If you put them on autopay from your bank the bank even pays for the stamp and the envelope and you have a nice record. Learned this the hard way with a compulsive spender relative.
FF, with my mom's savings account earning .25% there is very little incentive to use it for pension deposits rather than her chequing account. I agree that it is really whatever you are most comfortable with, it can be a pain to have to write and deliver cheques. You should get an itemized bill either way, and bank statements are always available if you need a physical record of expenditures.
It depends on what way feels more comfortable, writing checks or having the money taken automatically from checking.
For me, I prefer to write a check. Either way, one has to make sure there are enough funds especially if there are other automatic payments such as secondary insurance and Rx.
Prior to my Dad going into Assisted Living and was still living at home, I had to keep a constant watch on his checking account as he and my late Mom had quite a few things that were automatic payment. I was constantly moving funds from savings to checking.
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.
My Dad has Agency caregivers, and the only way payment can be made is through auto pay. Been doing this for a year now, have had zero problems. It is pulled from my own checking account, then I get reimbursement when I write a check from my Dad's checking account. Have to keep tight records.
I agree that it is really whatever you are most comfortable with, it can be a pain to have to write and deliver cheques. You should get an itemized bill either way, and bank statements are always available if you need a physical record of expenditures.
For me, I prefer to write a check. Either way, one has to make sure there are enough funds especially if there are other automatic payments such as secondary insurance and Rx.
Prior to my Dad going into Assisted Living and was still living at home, I had to keep a constant watch on his checking account as he and my late Mom had quite a few things that were automatic payment. I was constantly moving funds from savings to checking.