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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.
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My mother is 86 and have alot of problems, she is in nursing home right and nurse suggested getting POA. I have no idea how to start. Please help direct me
POA isn't something you "get", it is something you must be given by your mother. She would need to see a lawyer and sign paperwork appointing you to act on her behalf (and according to her wishes) when she can no longer act for herself. Is she still competent to do that?
I'll talk to the nurse, she was the one suggested it. So she needs to do this, she can't walk right now, so what should I do? Her short term memory is not good ,but her long term is ok Nether one of us has money for help.
There are do it yourself forms you can download off the internet but I would only go that route as a last resort. If you must use them do your research carefully so you both understand what a POA can and can't do, and be sure to have mom's competence certified and the forms properly witnessed and notarized.
Check with your County Department on Aging or even a local senior center. They may be able to refer you to an attorney who will do a POA for minimal cost. I know my mothers attorney volunteered one day a week at the senior center in the neighborhood where his office was located and would do basic services at no cost. You may find an attorney who would be willing to go to where your mother is.
You will need documents for making 1) financial decisions for your Mom; and 2) Medical decisions (her wishes ahead of time).
If she is receiving Social Security, the Dept. of Soc. Security may assign you to be her "rep-payee" for receipt of those funds to pay her bills.
However, the nurse's immediate concern may be the medical power of attorney for Mom's healthcare-to advocate for her. Because with the new HIPPA privacy laws, the doctors cannot tell you about her.
If you feel this is going to be too much for you, is there someone else you both trust to be DPOA, medical POA, and rep-payee for social security? Family?
There is a steep learning curve, but you can do it-a lay person can do it.
MACinCT, Re: Scope of Nursing Practice: Yes, a nurse's role as an advocate for the patient requires that she obtain informed consent from the patient. The nurse is often responsible for asking the patient to sign the forms, which would include legal liability for the nurse and her employer (the facility) if the nurse obtained a signature from someone not able to understand informed consent.
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.
Her short term memory is not good ,but her long term is ok
Nether one of us has money for help.
You may find an attorney who would be willing to go to where your mother is.
1) financial decisions for your Mom; and
2) Medical decisions (her wishes ahead of time).
If she is receiving Social Security, the Dept. of Soc. Security may assign you to be her "rep-payee" for receipt of those funds to pay her bills.
However, the nurse's immediate concern may be the medical power of attorney for Mom's healthcare-to advocate for her. Because with the new HIPPA privacy laws, the doctors cannot tell you about her.
If you feel this is going to be too much for you, is there someone else you both trust to be DPOA, medical POA, and rep-payee for social security? Family?
There is a steep learning curve, but you can do it-a lay person can do it.
Re: Scope of Nursing Practice:
Yes, a nurse's role as an advocate for the patient requires that she obtain informed consent from the patient. The nurse is often responsible for asking the patient to sign the forms, which would include legal liability for the nurse and her employer (the facility) if the nurse obtained a signature from someone not able to understand informed consent.
.