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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
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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.*
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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:
is to place her in a home. I can only visit twice a year. He may possibly visit once a week. My mother is going to be very lonely, may forget us has she has done me already. I don't kow how I feel about the whole situation. How do I cope??
Man, this is one of the toughest situations to be in. It's very painful when a parent doesn't recognize you and there's a lot of guilt because you can't be closer to see her and your brother. but - you've got to find a way to deal with the guilt and then let it go. Realize a few things: -. Does your mom remember you as a child? If yes, then take heart in that and know she loves you. When you visit talk about what you did together when you were young. -. Don't take it personally - this is the hardest thing of all. Your mom does not WANT to forget you or anything else. It's a disease that she cannot help. -. At least you get there twice a year. Visiting from such a distance is a feat in itself. It's really UNSELFISH of you to do it - I am assuming you're using all your vacation since it's impractical to go all the way to the PR for just a couple of nights. Some people NEVER see their parents until it's a critical illness or at the mortuary. -. Lonely is relative - When my brother lived with my mom, she sat home alone all day while he worked. When he came home they made supper together then he went to his room to watch TV, drink beer & sleep so she sat alone to watch her programs. All I heard was, "there's no one to visit with..." once we moved her to assisted living and then a nursing home, those complaints went away. She visits with people that walk by her room. she visits with table mates at meals. She gets MORE interaction than she ever would have at home. Your mom will probably do the same. - Mom's safety is the most important thing. If she's at the point where her actions are a danger to herself or others then it's best she live some place where she can have supervision 24-7. It's safer - and far less stressful - for your brother and his family too. Good luck to you and your family. Your mom is lucky to have such caring kids.
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.
-. Does your mom remember you as a child? If yes, then take heart in that and know she loves you. When you visit talk about what you did together when you were young.
-. Don't take it personally - this is the hardest thing of all. Your mom does not WANT to forget you or anything else. It's a disease that she cannot help.
-. At least you get there twice a year. Visiting from such a distance is a feat in itself. It's really UNSELFISH of you to do it - I am assuming you're using all your vacation since it's impractical to go all the way to the PR for just a couple of nights. Some people NEVER see their parents until it's a critical illness or at the mortuary.
-. Lonely is relative - When my brother lived with my mom, she sat home alone all day while he worked. When he came home they made supper together then he went to his room to watch TV, drink beer & sleep so she sat alone to watch her programs. All I heard was, "there's no one to visit with..." once we moved her to assisted living and then a nursing home, those complaints went away. She visits with people that walk by her room. she visits with table mates at meals. She gets MORE interaction than she ever would have at home. Your mom will probably do the same.
- Mom's safety is the most important thing. If she's at the point where her actions are a danger to herself or others then it's best she live some place where she can have supervision 24-7. It's safer - and far less stressful - for your brother and his family too.
Good luck to you and your family. Your mom is lucky to have such caring kids.