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:
Be a wise consumer of services. You are worth it and you owe it to yourself. When exploring alternate housing options, long-term care, personal care, assisted living and adult day services , do not be duped by savvy marketers who are selling their package of goods. DO YOUR HOMEWORK , this is one of the biggest transitional events that may affect you or your loved one. Be sure as an Older Adult, that the individuals administering ,and the clinical staff , have backgrounds in Gerontology , a field of study and expertise which is geared to serving this population. A crash course, or one day seminar does not constitute a real understanding of these specific needs. Check the company out fully. Is this a for-profit corporation who may be more apt to satisfy the financial interest of their shareholders or the consumers they are serving? All services are not reflection of their aesthetics , and a well polished , fancy environment does NOT always assure good care, just perhaps good taste. If you did not have chandeliers and brocade furniture in your home, you may not want or need it now. Does this service have a working knowledge of resident -centered philosophies such as Eden Alternative, Aging in Place, Validation and other consumer friendly techniques, or are they satisfied with the old status quo in care provision. Before any transition is made, spend time at the facility if possible, observe, and ask specific questions. Do your own research. You would not hire a general maintenance person to do your plumbing, or a criminal lawyer to attend to your business needs, why not expect the same from those who will be accommodating your most precious assets, your health and psychosocial well-being.
I am thinking of taking a class on financing as I am going to have to take over my parents monies soon, I think. With my own money , well, what you don't have you don't have to worry about but my parents have different accounts and savings and advisors and this and that and I know I am executor of the will and I do not want to be ignorant. This is for the future ( God willing) but I feel I should educate myself now. I actually wish my Dad would tell me all about their finances so I can be equipped but he is not willing to. I don't want to take control I just want to be prepared!!! I feel like I should be going to their financial meetings with their advisor so when the time comes and I do need to take over I know what I am doing. Especially on that when the time comes my emotional state may not be as objective-I may be grieving or stressed and not able to function as well. But how to get Dad to understand this?
I know our local community college offers 1 day classes on how to care for an aging parent.
When we planned on my dad moving in with me I had no inkling of what I was getting myself into. Had I been aware of a class back then I would have taken it. Now I could probably teach it! ;-)
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.
Be sure as an Older Adult, that the individuals administering ,and the clinical staff , have backgrounds in Gerontology , a field of study and expertise which is geared to serving this population. A crash course, or one day seminar does not constitute a real understanding of these specific needs.
Check the company out fully. Is this a for-profit corporation who may be more apt to satisfy the financial interest of their shareholders or the consumers they are serving?
All services are not reflection of their aesthetics , and a well polished , fancy environment does NOT always assure good care, just perhaps good taste. If you did not have chandeliers and brocade furniture in your home, you may not want or need it now.
Does this service have a working knowledge of resident -centered philosophies such as Eden Alternative, Aging in Place, Validation and other consumer friendly techniques, or are they satisfied with the old status quo in care provision.
Before any transition is made, spend time at the facility if possible, observe, and ask specific questions. Do your own research. You would not hire a general maintenance person to do your plumbing, or a criminal lawyer to attend to your business needs, why not expect the same from those who will be accommodating your most precious assets, your health and psychosocial well-being.
When we planned on my dad moving in with me I had no inkling of what I was getting myself into. Had I been aware of a class back then I would have taken it. Now I could probably teach it! ;-)