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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.
✔
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:
My Mom was 89 when she passed from Dementia. It was so hard watching her go thru this, a woman who sacrificed for husband and children. She became so frail. Being the oldest and the caregiver I have had to try to remember the good times. Because the last 3 yrs of her life were far from it. Her passing was a relief. A relief because she was no longer suffering from this desease. She had her faith so she knew where she was going. I had a family friend do her service. He grew up with my brothers and had become a minister. He knew the family well and had us laughing and crying. My Highschool friends were there and stood up and talked about the good times.
Thats what you need to remember, the good times. You have to know that Dad would not have wanted to live his final years like that. So its a blessing he was able to let go of this life.
Now, for you, its time to get back to life. Facebook was good for me. Was able to reconnect with some school friends and work friends. Have had breakfast and lunch with them. I keep my friend list short and privacy settings "private or friends only". No friends of friends just my friends. This way I can keep in touch and chat privately with them.
Time for you. Feel free to be selfish. My retirement of 7 years has been driving my GF, her mother and daughter to doctor appts. Then caring for my infant Gson and without being able to take a breath...right into caring for my Mom, In the year since her death, I have not volunteered to help anyone. I am still dealing with Moms 125 yr old run down house and a disabled nephew. The time in between is mine for now. I get up late, take my time doing whatever. See friends. Just allow myself what I want to do. Before Moms death she was in a NH. We had planned on a trip south to see relatives, then Mom died. A week after her death we went on our trip. So nice to get away. Maybe something you should do.
Ziggy, I am so sorry that your Father passed away recently. It is very hard to cope with on top of everything else that happened while he was alive.
There is a time for helping and giving, and there is a time for slowing down and pulling back... You helped and gave SO MUCH to your Father and now is the time for YOU to slow down and give back to yourself. Allow yourself time to grieve. But also give yourself time and permission to remember the GOOD TIMES that you and your Father had together throughout the years. God Bless and {{{Hugs}}}
Dear Ziggy, try to get some sleep. You are probably dog tired physically, and exhausted emotionally. You need to rest. Your father is safe now, and you must look after yourself. For his sake, as well as for yours. Love, Margaret
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.
Thats what you need to remember, the good times. You have to know that Dad would not have wanted to live his final years like that. So its a blessing he was able to let go of this life.
Now, for you, its time to get back to life. Facebook was good for me. Was able to reconnect with some school friends and work friends. Have had breakfast and lunch with them. I keep my friend list short and privacy settings "private or friends only". No friends of friends just my friends. This way I can keep in touch and chat privately with them.
Time for you. Feel free to be selfish. My retirement of 7 years has been driving my GF, her mother and daughter to doctor appts. Then caring for my infant Gson and without being able to take a breath...right into caring for my Mom, In the year since her death, I have not volunteered to help anyone. I am still dealing with Moms 125 yr old run down house and a disabled nephew. The time in between is mine for now. I get up late, take my time doing whatever. See friends. Just allow myself what I want to do. Before Moms death she was in a NH. We had planned on a trip south to see relatives, then Mom died. A week after her death we went on our trip. So nice to get away. Maybe something you should do.
There is a time for helping and giving, and there is a time for slowing down and pulling back... You helped and gave SO MUCH to your Father and now is the time for YOU to slow down and give back to yourself. Allow yourself time to grieve. But also give yourself time and permission to remember the GOOD TIMES that you and your Father had together throughout the years.
God Bless and {{{Hugs}}}