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:
Adapt their home for longer time living - add grab bars, remove trip hazards, install outdoor security lights and perhaps indoor monitors. Establish regular communication with them, alert police and the fire department of their status, get medical alerts, a lock box, plenty of blankets and cold weather gear if they're marooned by inclement weather.
Assuming you're close, bring frozen foods or buy meals they can heat up, make sure they have a manual can opener, backup veggies and soups, etc.
Plan for any kind of isolating weather event as well as emergencies. Prepare medical histories for both of them, list their meds and pharmacies, find out if the pharmacies deliver.
Identify backup transportation such as door to door transit or nonemergency ambulance service.
Make their home as security and weather proof as possible, including against the possibility of cold weather power outages.
There is a peace to country living that can't be found in cities or suburbs. If that's their choice to live out the rest of their lives there, acknowledge it and help them as much as you can, remembering that at some time the situation could change and they might still need help that can't be provided at home.
Jmoore, if your parents are of sound mind they can do whatever they want, even if it is something we would consider a poor choice. Thus, they would need to take responsibly of whatever happens under those choices.
I bet your heart jumps a beat anytime you see their Caller ID on your phone. My parents lived on their own up into their mid-late 90's, so I had been a basket case for many years now due to their decisions of not moving, and refusing outside help.
Depending on your parent's age, those who are in their 80's and 90's dig in their heels the most about not wanting to leave their home. All of my parents siblings and their own parents did the same.
Like most of us here who parent(s) still are bolted to their house, it will take a major crises before they will admit they need help.
Respect their decision, it is a beautiful thing to stay in one place when your time is short. Old people are like old trees; if you dig them up and try to plant them in a better spot, they wither and die.
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.
Assuming you're close, bring frozen foods or buy meals they can heat up, make sure they have a manual can opener, backup veggies and soups, etc.
Plan for any kind of isolating weather event as well as emergencies. Prepare medical histories for both of them, list their meds and pharmacies, find out if the pharmacies deliver.
Identify backup transportation such as door to door transit or nonemergency ambulance service.
Make their home as security and weather proof as possible, including against the possibility of cold weather power outages.
There is a peace to country living that can't be found in cities or suburbs. If that's their choice to live out the rest of their lives there, acknowledge it and help them as much as you can, remembering that at some time the situation could change and they might still need help that can't be provided at home.
I bet your heart jumps a beat anytime you see their Caller ID on your phone. My parents lived on their own up into their mid-late 90's, so I had been a basket case for many years now due to their decisions of not moving, and refusing outside help.
Depending on your parent's age, those who are in their 80's and 90's dig in their heels the most about not wanting to leave their home. All of my parents siblings and their own parents did the same.
Like most of us here who parent(s) still are bolted to their house, it will take a major crises before they will admit they need help.