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.
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I acknowledge and authorize
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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:
If you don't pay, you will be hounded by collection agencies. The FTC can protect you from these agencies. You don't pay, your credit will be effected. You probably will not be able to buy any large ticketed items like a car, without a co-signer. There are consolidated loans with a lower interest rate. This will combine your cards into one monthly payment. If you are running a balance and not paying regularly on your cards, your probably paying 30% a year in interest. Here is a list of who can garnish ur check.
"Social Security benefits are generally exempt from garnishment for most debts, including those from judgments. However, there are some exceptions, such as:
Federal taxes The IRS can levy up to 15% of Social Security payments to collect overdue federal taxes.
Child support and alimony Social Security benefits can be garnished to pay child support and alimony.
Federal student loans Social Security benefits can be garnished to pay federal student loans.
Restitution to crime victims Social Security benefits can be garnished to pay restitution to crime victims.
Supplemental Security Income (SSI) is also protected from garnishment, even if other forms of Social Security income can be garnished.
If you receive Social Security, you can check your bank statements or account balance to see if your benefits are being garnished.
For my SFIL who had thens of thousands in cc debt, hadn't paid his property taxes in 3 years and had a house in foreclosure, he (with Parkinsons and Lewy Body dementia and MIL with memory impairment) both walked away since there were no other co-signers. I didn't answer their phone calls, and any mail they received I wrote "No longer at this address, return to sender" and put it in the mailbox. SFIL never had a PoA so not sure what his court-assigned legal guardian ever did, but my husband was PoA for his Mom and we never heard a peep out of any creditors eventually. I think at one point I wrote back on a creditor's letter that she was now in a nursing home.
Social security is fail safe. It cannot be collected against by any bill collectors save those holding federally funded student loans. Social security cannot be touched. However judgement against home, car, other assets can be obtained.
If you’re talking Medicaid and share of cost paid by assigning social security benefits to nursing home? The debts will go unpaid. Only a small personal needs allowance is kept for the patient on Medicaid. If house or car cost, they go unpaid. If there is a spouse outside nursing home needing support, consult an attorney to see if part of benefits can be kept for community spouse.
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.
"Social Security benefits are generally exempt from garnishment for most debts, including those from judgments. However, there are some exceptions, such as:
Federal taxes
The IRS can levy up to 15% of Social Security payments to collect overdue federal taxes.
Child support and alimony
Social Security benefits can be garnished to pay child support and alimony.
Federal student loans
Social Security benefits can be garnished to pay federal student loans.
Restitution to crime victims
Social Security benefits can be garnished to pay restitution to crime victims.
Supplemental Security Income (SSI) is also protected from garnishment, even if other forms of Social Security income can be garnished.
If you receive Social Security, you can check your bank statements or account balance to see if your benefits are being garnished.