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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.*
*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:
The nurses only said she would call me when she was able but it's been 3 weeks and no contact from anyone. Something isn't right and almost feels like she's been kidnapped. Not sure who to call first. 911, an attorney?
Are you telling me that NO ONE in your family has any idea where your Mother was sent? Ummmmmm. This isn't normal. Call to hospital administration. Tell them that the next step for your MISSING parent is the police. To be frank it would be almost unheard of here In US for any place to accept a patient without family contact and paperwork if there is family at all; I can't even begin to imagine this.
During my hospital calls to my mom, she told me my number was written on the board as a point of contact by one of the nurses. I wonder if it was the lady from APS. She initially called me when my Mom was 1st admitted. And nothing since. I finally located her (story in a reply below) and in both emails I tossed out the term medical kidnapping. I'm not sure if that added to their urgency but I was called back quick both times. I found out her requests to call me (shes never had a cell phone), were brushed off with oh tomorrow.
The Patient Advocate would be another person to seek out. Call the hospital and ask for him/her. Explain that you have some urgent concerns about the "continuity" of your mother's care. Call the SW as well and anyone up the chain of command. I'd say after 3 weeks, it's OK to leave a message for more than one person. Do you have legal authority to request information? Is there someone who doesn't want this information given to you? If I ever had to move LO, there is one particular person in my circle who would not be told where LO was moved.
Thank you. I finally located her after a wild goose chase. I ended up on the hospital website and emailed them my situation. A patient advocate returned my call and provided the rehab. That rehab gave me the runaround saying she was there, then she was not and I was transferred around. I found there website and emailed them. 5 minutes later they called me and provided a 2nd rehab was transferred to from there. On her side whomever she was requesting to contact me kept telling her tomorrow and brushing off the request. Not sure if it was the lady from APS. No legal authority. She is starting to have memory issues, but hasnt been diagnosed yet. I do pay her bills through her account as she added me to it.
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 wonder if it was the lady from APS. She initially called me when my Mom was 1st admitted. And nothing since.
I finally located her (story in a reply below) and in both emails I tossed out the term medical kidnapping. I'm not sure if that added to their urgency but I was called back quick both times. I found out her requests to call me (shes never had a cell phone), were brushed off with oh tomorrow.
I ended up on the hospital website and emailed them my situation. A patient advocate returned my call and provided the rehab.
That rehab gave me the runaround saying she was there, then she was not and I was transferred around.
I found there website and emailed them. 5 minutes later they called me and provided a 2nd rehab was transferred to from there.
On her side whomever she was requesting to contact me kept telling her tomorrow and brushing off the request. Not sure if it was the lady from APS. No legal authority. She is starting to have memory issues, but hasnt been diagnosed yet. I do pay her bills through her account as she added me to it.