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:
Planning before the crises is recommended. Why? Where is a reliable source of statistical information concerning the benefits of planning before the need hits?
There is a group of seniors planning a workshop for family caregivers in our rural area. Lots of information about content is available, but not a great deal that would motivate someone to take action before the need hits them. Trying to find motivating answers to the question, "Why should I attend another meeting?"
Most of the information that I learned about planning and not planning for crisis comes from first hand experience and what I have seen in family, friends, colleagues, etc. If someone has a study they may be able to help you. Are you writing a paper or preparing a project. I hope this helps.
I sure was happy that my cousin had prepared her Durable POA, Healthcare POA and Will years before she needed them. Plus, she told me where they could be found. When her memory went, I had to step into action fast. Thank goodness, her affairs were in order. If not, it would have been so much more difficult going through the court.
Also, she had her life insurance in place, for the funeral home costs after her death. Good planning.
Now finding an AL or Memory Care facility....that's tough. It took me a lot of research, visiting, checking, phone calls, etc. to get that straight. If you are a senior and are able to select places in advance, that is helpful. Sometimes getting on a waiting list is required and you may have to wait.
Also, if you don't know what you are able to afford with regard to long term care and have never consulted with a professional, you may end up in an ER with family frantically trying to get appointments with doctors, lawyers, case workers, etc. with no idea of the finances, costs, qualifications, etc. for long term care. It's pretty stressful.
It's also helpful to make your loves ones aware of your choice for artificial nutrition, CPR, medications to extend life when terminally ill. Many family members are too stressed and guilt ridden to do this on their own. I'd plan, so they don't have to wonder if they are honoring your wishes.
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.
Thanks for your help.
I sure was happy that my cousin had prepared her Durable POA, Healthcare POA and Will years before she needed them. Plus, she told me where they could be found. When her memory went, I had to step into action fast. Thank goodness, her affairs were in order. If not, it would have been so much more difficult going through the court.
Also, she had her life insurance in place, for the funeral home costs after her death. Good planning.
Now finding an AL or Memory Care facility....that's tough. It took me a lot of research, visiting, checking, phone calls, etc. to get that straight. If you are a senior and are able to select places in advance, that is helpful. Sometimes getting on a waiting list is required and you may have to wait.
Also, if you don't know what you are able to afford with regard to long term care and have never consulted with a professional, you may end up in an ER with family frantically trying to get appointments with doctors, lawyers, case workers, etc. with no idea of the finances, costs, qualifications, etc. for long term care. It's pretty stressful.
It's also helpful to make your loves ones aware of your choice for artificial nutrition, CPR, medications to extend life when terminally ill. Many family members are too stressed and guilt ridden to do this on their own. I'd plan, so they don't have to wonder if they are honoring your wishes.