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
✔
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:
I saw your profile that you are caring for someone. Having POA does not mean you have to physically care for someone and be at their beck and call.
As POA you are a representative of the person who has assigned you. Financially you make sure their bills are paid. If they need care and they have the money, you use it to get them the care or place them where they get care. Medically, you carry out their wishes and make informed decisions when they can't. If this responsibility is too much for you thats OK, then step down. But realize if u do this and there is no secondary, the person will have no one to speak for them when needed unless competent to assign another POA.
There are a number of reasons that we need to step down, mainly because the person who assigned us is not cooperative. They bulk at every turn usually when we try to get them help. "No, it must be the POA to do the work." But really that is not the responsibility of the POA, to care for the person. So, if this is your situation, can you go to the Lawyer who drew up the POA? If so, tell the Lawyer you are revoking the POA. It may just a matter of you sending a letter to that lawyer saying "as of 12/7/2022 I am revoking my responsibilities of POA for your client Jane Doe, of 22 Main St., American Town, State" You may want to mention why. If u cannot afford a lawyer, there is legal aide that charges on scale. They maybe able to write a letter to the principles lawyer or to the principle themselves.
What Joann said. The POA gives your the ability not the obligation. Simply don't use it or use it to the degree you feel comfortable. However, if by your POA you put her in a position that would compromise her if you walked away, that's something to keep in mind. Went to pick up my mother one time from the hospital and took her home. Even though I did not use the POA to pick her up I was on file at the hospital. My attorney told me afterwards, when I brought her home, that I "could" have been held responsible for neglect had anything happened to her during that time. Its a game the hospitals play to push responsibility. If you have done nothing else but assist with bill paying and the like, you should be able stop at any time. This is based on the information I was giving by my legal council. I contacted disability services in my area and the state(DHS). Even through a lot of people cringe at getting the state involved. If you are proactive they are a great FREE resource and have a lot of external resources they can give you. They can also review the situation and help make recommendations, including a state(depending on where you live) appointed Conservator or Guardianship if needed.
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.
As POA you are a representative of the person who has assigned you. Financially you make sure their bills are paid. If they need care and they have the money, you use it to get them the care or place them where they get care. Medically, you carry out their wishes and make informed decisions when they can't. If this responsibility is too much for you thats OK, then step down. But realize if u do this and there is no secondary, the person will have no one to speak for them when needed unless competent to assign another POA.
There are a number of reasons that we need to step down, mainly because the person who assigned us is not cooperative. They bulk at every turn usually when we try to get them help. "No, it must be the POA to do the work." But really that is not the responsibility of the POA, to care for the person. So, if this is your situation, can you go to the Lawyer who drew up the POA? If so, tell the Lawyer you are revoking the POA. It may just a matter of you sending a letter to that lawyer saying "as of 12/7/2022 I am revoking my responsibilities of POA for your client Jane Doe, of 22 Main St., American Town, State" You may want to mention why. If u cannot afford a lawyer, there is legal aide that charges on scale. They maybe able to write a letter to the principles lawyer or to the principle themselves.
Went to pick up my mother one time from the hospital and took her home. Even though I did not use the POA to pick her up I was on file at the hospital. My attorney told me afterwards, when I brought her home, that I "could" have been held responsible for neglect had anything happened to her during that time. Its a game the hospitals play to push responsibility. If you have done nothing else but assist with bill paying and the like, you should be able stop at any time. This is based on the information I was giving by my legal council.
I contacted disability services in my area and the state(DHS). Even through a lot of people cringe at getting the state involved. If you are proactive they are a great FREE resource and have a lot of external resources they can give you. They can also review the situation and help make recommendations, including a state(depending on where you live) appointed Conservator or Guardianship if needed.