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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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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:
POA can be assertained thru an eldercare lawyer-or even perhaps thru the assisted living facility. You can also check your area association on aging for additional input on this matter. Keep in mind the there are 2 types of POA-one for finances, and the other for health issues. An advance directive would be great to have if your Mom is able to comprehend this-as any dicision making will simply be done by her, and not you.. Good Luck! Hap
Your mother must GRANT PoA to you, that means she must approve giving you this control and authority and sign off in the presense of unbiased witnesses. There are various types of PoA, some can be very limited in control and duration (with an expiration date). For example, if I am moving and ask a relative to monitor movers as they pack up my house and load the truck, I can give that person PoA to conduct that business on my behalf.
A complete and durable PoA is the ultimate in trust and authority and should be done ONLY with a lot of thought and consideration from the elder and the PoA. If your elder is not able to grant a PoA - meaning they are incapacitated or have dementia - then you'll have to go to court and be appointed guardian or personal representative.
There ARE liabilities that go along with this sort of power over another's finances and well being. If you use any of an elders funds, sell or give away belongings, or "gift' yourself money or belongings, you can be prosecuted for elder abuse. Being a PoA means that you agree to honestly conduct business or make decisions for the BEST of the individual. If you have questions about details or wish to understand what you may/may not do - contact an attorney in the state where your mother lives AND an attorney in the state where you hope to move her. Each state may have different laws that apply to PoA and the fines/penalties if it's misused. If you become your mothers PoA you should also ask her to complete medical directives or living wills that state what should be done under certain medial conditions. Ask her current assisted living facility if they have samples of these documents. Good luck
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.
Good Luck!
Hap
A complete and durable PoA is the ultimate in trust and authority and should be done ONLY with a lot of thought and consideration from the elder and the PoA. If your elder is not able to grant a PoA - meaning they are incapacitated or have dementia - then you'll have to go to court and be appointed guardian or personal representative.
There ARE liabilities that go along with this sort of power over another's finances and well being. If you use any of an elders funds, sell or give away belongings, or "gift' yourself money or belongings, you can be prosecuted for elder abuse. Being a PoA means that you agree to honestly conduct business or make decisions for the BEST of the individual. If you have questions about details or wish to understand what you may/may not do - contact an attorney in the state where your mother lives AND an attorney in the state where you hope to move her. Each state may have different laws that apply to PoA and the fines/penalties if it's misused. If you become your mothers PoA you should also ask her to complete medical directives or living wills that state what should be done under certain medial conditions. Ask her current assisted living facility if they have samples of these documents.
Good luck