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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
✔
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:
I don't think were as spread around the country as one would imagine. I' saw 3 or 4 hoosiers here in the last week. I'll begin, I'm bob from MARTINSVILLE INDIANA..
i think ill stay away from texas. they buy those lethal injection drugs by the 55 gallon drumfulls. the texas death row website makes for some interesting reading. in texas' defense the people werent executed for sidewalk spittin.. in indiana we had one of those " i demand to be exece " ploys from a guy named steven judy. indiana fried him before he could finish the sentence. lol
Actually, I'm not FROM, Indio. I was born in Walnut Creek, CA. Then I moved to PA, NJ, IL, TX, then spent 25 yrs in OR, then finally the last 11 down here. All my kids and grandkids are up in OR, so that's where my heart is.
ChristinaW, howdy! About2 1/2 hours north on the 101. I am an L.A. brat, been in San Bernardino, and thanks to the good man above, landed in Ventura. Wouldn't go back to L.A. if I was paid to. Seriously perfect weather here.
Hola, 58! Yes, I know it well. Santa Barbara has been a favorite destination for most of my adult life. My Mother lived just south of SLO for 33 years until I brought her down here in 08. The 5 hour drive was too much on a weekly basis. I stay as far west as I can. Cheers:)
Hey y'all, I'm Loretta, I'm from a small town in Kentucky... where the streets are rolled up at 9:00 pm every night, and where everybody knows your name. Front porch swing, ice tea drinkin' 'Mayberry' kind of town... God bless you'uns heart ;)
Nobody from Pennsylvania? I moved back to my hometown of Indiana, PA to help take care of my folks in 2008. Prior to that, I lived in East Texas for many years.
Thanks for asking this question :) I wondered myself where everyone was from.
eguillot .. lol .. the wha?? Tho I've lived here for (mumbles something that sounds like 45 years), the surf has never been my turf, so to speak. If ya make it down this way again, ping me. Maybe we can meet up.
ChristinaW .. there's a difference (ducks outta the way)
Born in Wisconsin, Milwaukee area. Moved to San Jose, CA (near SF and heart of silicon Valley area) at 3, stayed there till mid 40's n packed Me n Ma up(ma was is San Jouquin Valley,Middle of nowhere, stayed there less than a year) moved north to So. Oregon for past 7 ys. Love the landscape, lil quiet for a city girl, adjusting cuz I do love the scenery and outdoors activity but we are very limited now that ma is Wheelchair bound! Would love to move to tropics/Hawaii somewhere when this is all done! travelled a bit. mostly tropics etc...
ChristinaW, greetings from the 805! My mom and dad were in Paso Robles for ten years, mom was living at Country Care in Santa Margarita her last three years. The cowboys up there can have it, hotter than a pistol, 100 plus all summer long. Happy Fourth to all you guys, GO HAVE A BLAST!!
Born in Ireland, brought up before teens in England, moved to Brooklyn NY lived there teens to young adult, then Upstate NY to work in Corr Facility then on to other bigger things and back to Ireland, Kerry. Tired now after this.
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.
in indiana we had one of those " i demand to be exece " ploys from a guy named steven judy. indiana fried him before he could finish the sentence. lol
I stay as far west as I can. Cheers:)
Thanks for asking this question :) I wondered myself where everyone was from.
ChristinaW .. there's a difference (ducks outta the way)
This is Amy I live in Mishawaka Indiana, born and raised. It is about 15 minute drive from University of Notre Dame.
We have orange cone season here too!