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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.*
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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 my dad's healthcare agent, but live a few hours away. My sister lives closer and can attend medical appointments. If the healthcare POA is enacted, can she still attend appointments. We both have a signed proxy to access health information.
She can attend, but treatment decisions have to be made by you. So it's important that you understand and agree with any information shared during the visit. Healthcare portals are helpful for this since you can see the office notes.
My opinion, I say yes. As the MPOA you can assign someone to go with Dad and take notes. Some of my husbands doctors type what they say right into the computer or tablet and then print the notes off. Maybe Dads doctors do this. Then Sis can forward the notes onto you. But yes, you make the decisions based on Dad's wishes. If something comes up that is not covered in his wishes, you take the info provided and what you think Dad would want to make your decision. Age has a lot to do with it too.
I think because families are spread out now, we have to work together for the care of our parents. Yes, there are rules governing Financial and Medical POAs but rules can be bent. My brother asked me if I was OK money wise for Mom. Telling him yes was not violating my Moms privacy and she would not have cared anyway. And if course I told him how Mom was doing and what the doctor said because he lived 7 hrs away. She was his Mom too and again, she would not have cared. The only reason I was POA was because I lived in same town as Mom. If it had been reversed, my brother would have been POA.
She has a signed proxy to attend? Yes, of course she can attend, then. But they will also want to know that YOU, as "acting" health care proxy at this point, are fully informed. So they will ask YOU to attend as well. If you cannot serve you may want to find a way to attend by Zoom or other way. You need to discuss this with whatever entity (care facility) is arranging these health care meetings. They will tell you their own protocol. I hesitate to say what that might be as each will vary according to institution.
In my own case, when my brother was in rehab at the other end of our state, I attending care conferences on the phone. It worked very well. Because I had personally been there I had a relationship with nutrition, doc, PT and OT personnel already.
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 think because families are spread out now, we have to work together for the care of our parents. Yes, there are rules governing Financial and Medical POAs but rules can be bent. My brother asked me if I was OK money wise for Mom. Telling him yes was not violating my Moms privacy and she would not have cared anyway. And if course I told him how Mom was doing and what the doctor said because he lived 7 hrs away. She was his Mom too and again, she would not have cared. The only reason I was POA was because I lived in same town as Mom. If it had been reversed, my brother would have been POA.
Yes, of course she can attend, then.
But they will also want to know that YOU, as "acting" health care proxy at this point, are fully informed. So they will ask YOU to attend as well.
If you cannot serve you may want to find a way to attend by Zoom or other way.
You need to discuss this with whatever entity (care facility) is arranging these health care meetings. They will tell you their own protocol. I hesitate to say what that might be as each will vary according to institution.
In my own case, when my brother was in rehab at the other end of our state, I attending care conferences on the phone. It worked very well. Because I had personally been there I had a relationship with nutrition, doc, PT and OT personnel already.