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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:
We had it taken care of couple days ago. Am I supposed to file it with the government? If so, is it Federal (hope not they're closed) or the State or the City?
Unless you are using the POA to transfer real estate (which requires you to record the POA at the local register of deeds office), you typically need to do nothing. If it is signed and notarized, then it IS official, and valid.
My mom and I live in Maine. Many years ago she did a DURABLE POA with me as her designee. She is now 86 and suffers from dementia. Who makes the decision that this POA goes into effect. In other words, who documents that she is no longer capable, mentally or physically.
Hi there, we did ours ourselves. We both signed it, then had it notarized and ours required 2 witnesses. (I'm in Florida). It becomes a legal document (so many people spend money for this, and you don't have to). We made plenty of copies and have used it at 2 banks and all of my mother's Dr's offices. It was accepted by social security and medicare, so I am able to talk with them to handle all of mom's affairs. You could go ahead and file it, if you think there is anyone in your family that may question it. Ours is 7 pages, and the local courthouse here charges 6.00 per page to record a document. So it isn't expensive. There is an article somewhere on here about doing your own DPOA, which it sounds like you already have it. Good Luck with everything!!!
Some states require or allow filing a copy as a public record. My state (Minnesota) does not, and it seems to me that Alaska does not. See this state website: http://courts.alaska.gov/shcpoa.htm
If you are not certain, try contact your state's Aging and Disability Resource Centers.
You are wise to want to be sure you are doing this important step correctly!
I have full POA and Medical ( new Maryland MOLST form) that a doctor must sign, this replaces or added to the DNR form ( do not resuscitate) I did not know I had to give a copy to banks etc. I just carry a copy in my purse at all times, along with a copy if the MOLST form, our POA was done by an attorney so I assume it is on record with the state. I am being brave and taking my husband to CA ( flying non stop) for a week to visit family, good thing I checked online as The Medical form from Maryland is not good in Cal. I had to download a POLST form (CA name for the new " healthcare" form. ) hell you need to be a scholar to stay ahead of this curve & this federal government does not make it easy!
I tried to use the POA at my father's bank but the bank also wanted a letter from his Dr stating he was not capable of managing his affairs or something to that effect. I thought the POA was the only document that was needed. What a pain! It's difficult enough!
In my state an additional document about my Dad's abilities is not required. The DPOA states that it is his wish that I take care of his financial and medical affairs. Also, filing with any government entity is not required. Those institutions with whom we do business need a copy of the DPOA, and that is all. I have a DNR and a Health Care Directive that were signed by my Dad, back when he understood what they said. I don't think the DNR and Directive are required, but I like having an official statement of my Dad's wishes as a back-up.
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 found one of the articles regarding this, and there are others in the same section.
If you are not certain, try contact your state's Aging and Disability Resource Centers.
You are wise to want to be sure you are doing this important step correctly!
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