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:
Just when I was feeling low, my mother said to me, "I really don't believe God gives you more than you can handle." I sure hope she's right. There are days when I wonder.
My husband has a Down's brother who is fortunate enough to live in a group home. The only reason he got in is because his brother and sister-in-law, who are both doctors, donate their time to the care of those in the home. So I know we are lucky. But, there are community programs for day care that might help ease your burden. Getting him out of the house for periods of time may make this easier for you.
I am not a doctor but my guess is that your brother-in-law really is reacting to the death of his mother. The mentally handicapped can be extremely sensitive to situations and after all, this was probably the person who dedicated her life to keeping him at home. That's a big loss.
You are a very giving person to take this on and I wish you well. Look into the day care for some relief. Look up your state's Dept. of the Mentally Retarded and Develomental Disabilities. They should be able to point you to more local help.
I recently moved my mentaly handi cap diabetic brother in-law in with me. He does thing that drive me crazy. If i dont watch him close he will eat every thing in the house. I have told him over and over he can not eat like that there are other people in that house that need food to, But he keeps doing it .Any idea's. This man is 53 yrs old and the other day i took him to the eye dr. it was the first time he had ever been to one.He does little things that could get him into trouble things he never done before. Dont know what to do to make him understand what he can do and cant because telling him is not working.I dont want him to go to a home. I made a promis to his mom before she passed i would take care of him. I took care of her and he was not this bad then could it be because of her passing this is going on? I need to go back to work but cant leave him alone. And have no one that will stay with him.I dont know were to turn.
I just recently came into the caregiving field. My husband had brain surgery and is requiring caregiving. I am 55 and he is 76. I do have help, nurses aid, nurses, therapy and this will last until March. I am a working wife and am able to take off and still get paid. However, the only source that enabled me to be able to take care of him in ways I did not know I could do these things, is God. I have been blessed with knowledge, sources of help and protection beyond my comprehension. When I first began this journey at home with him, I thought I had reached my end. It was VERY frustrating. So, I turned to God, gave it up to him, studied about anger and patience. I am now putting it into practice. I still have a long ways to go, but He has a hold of my hand He will not leave me alone ever.
My fortune cookie said that "Luck helps those who help themselves." I wonder how much more luck I'll have from helping others. On a side note it also told me the lucky lotto numbers are 1, 7, 26,34,40, 45
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 am not a doctor but my guess is that your brother-in-law really is reacting to the death of his mother. The mentally handicapped can be extremely sensitive to situations and after all, this was probably the person who dedicated her life to keeping him at home. That's a big loss.
You are a very giving person to take this on and I wish you well. Look into the day care for some relief. Look up your state's Dept. of the Mentally Retarded and Develomental Disabilities. They should be able to point you to more local help.
Extra prayers for you!