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.
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I acknowledge and authorize
✔
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:
"I am caring for my mother shirley, who is 85 years old with alzheimer's / dementia, anxiety, depression, hearing loss, incontinence, mobility problems, sleep disorder, and stroke.
Im 62 ive got oste arthritis the cartilage around my ribs tears at times so does around my knee I live at home with my mother she wants to die at home shes nowhere near death. hoping . i have no time of my own .few friends and family has tried to help out and they get in over there head and then they expect pay as much as a certified nurses assistant and such which we cannot afford my grandaughter would put and has put her in nursing home not expecting to pay out of pocket for the whole stay draing everyones bank account ..thats what were up aqgainst not being able to take care of mom at home while trying to find a plan that helps cover the cost of aids ive found some medicare just short of info come back different customer suppport ??start all over again get disconnected my mother helps help ..pls help"
Hmmm... your info from your profile doesn't help us figure out what you're asking in your posted question. It seems like your Mom doesn't have enough funds to pay for in-home care and that maybe family members don't think you are physically able to care for her. Sounds like you've been trying to get help to come in but can't pay them? No one is going to do it for free.
Maybe the "kidnappers" are just trying to get your Mom settled in a care situation that works for everyone concerned? Does she now have a court-appointed guardian? We really can't make sense of your information.
Your mother is not going to get the level of homecare you claim in your profile that she needs for free. That is not going to happen.
My friend, there aren't any kidnappers. No one is trying to kidnap your mother
She has serious health problems and needs more care than she's receiving at home. You are obviously unwell yourself according to your profile and cannot give her the care she needs.
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 am caring for my mother shirley, who is 85 years old with alzheimer's / dementia, anxiety, depression, hearing loss, incontinence, mobility problems, sleep disorder, and stroke.
Im 62 ive got oste arthritis the cartilage around my ribs tears at times so does around my knee I live at home with my mother she wants to die at home shes nowhere near death. hoping . i have no time of my own .few friends and family has tried to help out and they get in over there head and then they expect pay as much as a certified nurses assistant and such which we cannot afford my grandaughter would put and has put her in nursing home not expecting to pay out of pocket for the whole stay draing everyones bank account ..thats what were up aqgainst not being able to take care of mom at home while trying to find a plan that helps cover the cost of aids ive found some medicare just short of info come back different customer suppport ??start all over again get disconnected my mother helps help ..pls help"
Hmmm... your info from your profile doesn't help us figure out what you're asking in your posted question. It seems like your Mom doesn't have enough funds to pay for in-home care and that maybe family members don't think you are physically able to care for her. Sounds like you've been trying to get help to come in but can't pay them? No one is going to do it for free.
Maybe the "kidnappers" are just trying to get your Mom settled in a care situation that works for everyone concerned? Does she now have a court-appointed guardian? We really can't make sense of your information.
My friend, there aren't any kidnappers. No one is trying to kidnap your mother
She has serious health problems and needs more care than she's receiving at home. You are obviously unwell yourself according to your profile and cannot give her the care she needs.
Good for them. It’s not their responsibility to solve your problems as well.
You couldn’t have been doing a very good job of things if guardianship was given to someone else.