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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.
✔
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:
Health POA, if she is unconscious or otherwise unable to make decisions about her care, ie mental issues such as dementia, you can sign concent to treat forms and make medical decisions on her behalf. Financial POA, again if she is unable to do so only, can sign financial documents, pay Bill's with her money, close accounts, sell car or house etc. I needed POA to file all the forms to file her LTC insurance.
Tell your mom, that she needs to sign one so that SHE decides who makes these decisions and has control of her finances if she is unable to do so. It's not giving up control, it's taking charge of those decisions. In my moms HPOA, there is a line in there that I needed a letter of competency for it to be valid.
Get POA set up before getting any official diagnosis for dementia, if shes not competent enough in the moment for the lawyer or notary to think she understands what she is signing, you cant do it. Then a guardianship may be your only option
Yes to what Gracie responded, also need financial PoA for any banking or real estate transactions and manage any investments. The PoA document can be written with as many or few "powers" given to the assignee. In my MIL's case it did not require "proof" of incompetency, as this would have added a bigger burden and time delay in what we needed to get done for her. My own mom's does not require such proof, either. She can have more than 1 PoA but I highly recommend all are local, trustworthy and willing.PoAs are written for each state so where you mom lives will ultimately determine what the rules and processes are for her PoA.
Please be informed that pursuing guardianship is a process through the courts and can cost thousands of dollars, time and emotional energy. If you don't pursue it, the county will and then ALL CONTROL is out of both of your hands. You will be locked out of her accounts, they will commandeer all her assets and decide what facility she resides in and what kind/how much medical care she receives. After she passes you will receive an itemization for the costs of her care. Not likely to be much left over, if any. I strongly recommend she get her docs in place if she wants to have any say in her future care. If your mom has any assets beyond SS and a house, having a 1-hour consult with an elder law attorney will be money well spent.
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.
Financial POA, again if she is unable to do so only, can sign financial documents, pay Bill's with her money, close accounts, sell car or house etc. I needed POA to file all the forms to file her LTC insurance.
Tell your mom, that she needs to sign one so that SHE decides who makes these decisions and has control of her finances if she is unable to do so. It's not giving up control, it's taking charge of those decisions. In my moms HPOA, there is a line in there that I needed a letter of competency for it to be valid.
Get POA set up before getting any official diagnosis for dementia, if shes not competent enough in the moment for the lawyer or notary to think she understands what she is signing, you cant do it. Then a guardianship may be your only option
Please be informed that pursuing guardianship is a process through the courts and can cost thousands of dollars, time and emotional energy. If you don't pursue it, the county will and then ALL CONTROL is out of both of your hands. You will be locked out of her accounts, they will commandeer all her assets and decide what facility she resides in and what kind/how much medical care she receives. After she passes you will receive an itemization for the costs of her care. Not likely to be much left over, if any. I strongly recommend she get her docs in place if she wants to have any say in her future care. If your mom has any assets beyond SS and a house, having a 1-hour consult with an elder law attorney will be money well spent.