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
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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.
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Mom is alert enough to give verbal permission to nursing/doctor. I was told that the doctor whould have to approve of me seeing her medical record. Legally, what are my rights?
What the doc's are probably wanting is a HIPAA waiver signed off by your mom. HIPAA (which is a public law) has a whole privacy section which limits what health and personal info that anyone can have access to on another person. HIPAA enforcement is relatively recent - about the past 5 years. There probably isn't a HIPAA waiver in your mom's files, so therefore no access.
Nowadays when you go to a doc's office or hospital, there should be a "Notice of Privacy Practice" and a "Patient Authorization for Disclosure" form they (your mom) will need to sign off on in order for anyone to get information on their health. Many doc's offices have you do one every time you have an appt. But some don't or it get's lost, etc. For hospital admissions, they (your mom) might not have been cognitive/capable to sign HIPAA so it's not in her chart. So no access for you!
IMHO you should have the following done and keep handy: - Durable Power of Attorney (not just POA and not a "springing" POA) - Medical Power of Attorney
- Living Will &/or Advance Directives (DNR) - Declaration of Guardian in Event of Incapacity
Durable Power of Attorney "DPOA": There are two types: General or Limited: General means you can handle financial and health care issues. Limited may limit a person to make decissions either it financial, healthcare, or anything else. Which one do you have? Hopefully it is "General". Other than that I agree with IGLOO572.
It is impossible to answer this question fully without looking at the document. Some POAs give you the power and some do not. There are limited POAs and lgeneral ones. May I suggest that you read the document and ask the physician what is the problem. Some of them seem to think that they are lawyers. but maybe there is something in the records that trouble him. How about a compromise? Sit down with the physician and discus your dad's needs. Do you really need to know everything pertaining to your dad?
Depending on your state, it is advisable to also have a Health Surrogate or Medical POA form. This is very important so you do not have other family members trying to dictate or intervene. You can download any of these from a lot of web sites. I recommend Legal Zoom.
My mother needs medical records, (ALL, including but not limited to: LAB, CT,medical notes, etc.,) so that she can get help to pay on her prescription. It is costing her over $600 a month. She HAS to have it but the FDA blames the insurance and vise-versa for not allowing it into their formulary. She has had TWO well known specialists confirm she has to stay on this, and she writes down each dose she takes. Thanks. Leda
I was my mother's Durable Power of Attorney that included medical decisions. My mother still had to sign a HIPPA Waiver for me to have access to her medical records.
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.
HIPAA (which is a public law) has a whole privacy section which limits what health and personal info that anyone can have access to on another person. HIPAA enforcement is relatively recent - about the past 5 years. There probably isn't a HIPAA waiver in your mom's files, so therefore no access.
Nowadays when you go to a doc's office or hospital, there should be a "Notice of Privacy Practice" and a "Patient Authorization for Disclosure" form they (your mom) will need to sign off on in order for anyone to get information on their health. Many doc's offices have you do one every time you have an appt. But some don't or it get's lost, etc. For hospital admissions, they (your mom) might not have been cognitive/capable to sign HIPAA so it's not in her chart. So no access for you!
IMHO you should have the following done and keep handy:
- Durable Power of Attorney (not just POA and not a "springing" POA)
- Medical Power of Attorney
- Living Will &/or Advance Directives (DNR)
- Declaration of Guardian in Event of Incapacity
- HIPAA Waiver
- Will or a Living Trust
Good Luck.
General or Limited:
General means you can handle financial and health care issues.
Limited may limit a person to make decissions either it financial, healthcare, or anything else.
Which one do you have? Hopefully it is "General".
Other than that I agree with IGLOO572.
Lmsfmom, this is a site for caregiver support. You need to be in touch with mom's medical providers to address this issue.