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.
✔
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:
Losing a loved one is the most distressing experience we face. There is always a period of grief, sorrow and pain. Over time, and with purpose on your part, the pain of grief can heal. Are you married? Do you have children? If so, you focus on them. If not, understand your mom is gone... you're not. You have a life to live. If you don't want to let go, you will have a very sad life. I doubt that's what you want. If you want to resolve your grief, you have to CHOOSE to do that. That doesn't mean forgetting her, you'll never do that. It does mean to accept her death, to seek support, and even to talk about your loss to trusted friends and family, and maybe clergy. It means to acknowlege your pain, grief and sorrow. It's OK, it's normal. Two months after my wife's death, I started speaking to groups about my wife and my experience with AD from onset to death. It proved very therapeutic and cathartic for me. Recognize that this is YOUR grief. You can overcome it but it takes work... action on your part. Time won't heal all, it takes work on your part. If your grief doesn't lessen in a year or so, it will become a disorder known as "complicated grief". So you've got to let go and resume your life.
There are many books on grief, grief support groups and workshops, pastoral counseling and professional bereavement counseling. You might try documenting (journaling) your happy times. Everyone grieves differently and recovers differently. So I wish you well.
Thank u. She was “my everything my forever...n since my dad passed, MY FAVORITE THAT I LOVE MORE THAN ANYONE ELSE IN THIS WORLD! wow. That’s something I’d tell her all the time n to realize, it’s something I haven’t gotten to share or say...n remember.
I’m so sorry, you’ve joined the club so few want to be a part of, grief comes in waves and just takes time. I’m still dealing with it and will be for I have no idea how long. I wish you peace and comfort
I understand. I so loved my brother. It has been hard to let go, yet the more I do the more I know he will be with me to the day I die. Some things that help me. I have a diary I decorate with pictures and collages of him. I write him "letters" in this much like the letters we exchanged in real life when we didn't live in the same city.....long letters of things to share with him; things I thought about as regards him. Sometimes as simple as the purple color in the mountains surrounding him in certain lights; things we shared. As Joan Didion said (he loved her), the problem is they don't answer back. It seriously has helped. He died in May. I recently wrote him "I don't know if you are moving along, away from me, or if I am letting you go, but I am not having to write you so often, and I feel a peace". There will be things you will find that will help you. Things that work for YOU. I love how you wrote this; it is quite beautiful. Hugs to you.
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.
There are many books on grief, grief support groups and workshops, pastoral counseling and professional bereavement counseling. You might try documenting (journaling) your happy times. Everyone grieves differently and recovers differently. So I wish you well.
Remember the good times and share the joy with others that your parents gave you. It is a gift that is easy to keep giving.
You were truly blessed to have parents that brought so much to your life. Honor them by giving it to others, this will help you find your way forward.
May God grant you grieving mercies and strength during this difficult time.
wow. That’s something I’d tell her all the time n to realize, it’s something I haven’t gotten to share or say...n remember.
Some things that help me. I have a diary I decorate with pictures and collages of him. I write him "letters" in this much like the letters we exchanged in real life when we didn't live in the same city.....long letters of things to share with him; things I thought about as regards him. Sometimes as simple as the purple color in the mountains surrounding him in certain lights; things we shared.
As Joan Didion said (he loved her), the problem is they don't answer back.
It seriously has helped. He died in May. I recently wrote him "I don't know if you are moving along, away from me, or if I am letting you go, but I am not having to write you so often, and I feel a peace".
There will be things you will find that will help you. Things that work for YOU. I love how you wrote this; it is quite beautiful.
Hugs to you.