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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
✔
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'm the oldest of five. I lost relationships with my 2 sisters closest to my age when I realized they weren't joking about not caring, they weren't teasing about sticking our mom in a horrific nursing home and leaving her there! But I gained new, closer than ever, valuable relationships and friendships with my much, much younger sister & brother. We talk every day and see eachother at least once a week. I never knew what special, kind, intelligent, hardworking, loving, caring individuals I was missing out on I am so very thankful that the 3 of us bonded while providing care for our beautiful mom....I believe it's just what she wanted!
I have a childhood friend/neighbor a 50 yr friendship. I was there and on call for her 24/7 when her father was I'll and dieing. Then my dad died and I started care giving mom. She was not there for me in the least. If I mentioned my mom she would just get this look , that I took as boardom, Sence are lives intertwine so much, we kept a polite distance. So the other day I was chatting with her, and Im really not sure what to think. I thought she has just turned into a narcissist that I didn't want anything to do with. Now things are starting to piece together, with little hints, and from what others have said that she just really doesn't like my mother, doesn't think my mom treats me right and backed off because she didn't have anything good to say about her, and didn't want to say her true feelings. I'm kinda blown away by this. Not sure if I'm going to rekindle this friendship or not. I'm just going to sit on it for a while. I do imagine if the shoe was on the other foot. That is exactly the way I would of acted.
I think I will always be friends with some of Mom's caregivers. They love to laugh. They are high achievers. Many are working 2 or 3 jobs. They don't let life get them down. Three are in college.
My parents are in a NH. They had two wonderful in home caregivers that took wonderful care of them. I became friends with one of them. Whenever I'm in town for my month, I always make time to see her. She is such a kind compassionate person and always optimistic about life. It feels good to be around her.
I'm so glad I met her and she's still in my life. Having her as a friend is one of the upsides of this ordeal.
When my mother came down with Alzheimer's Disease, my sister (my only sibling) said, "I'm outta here!" and took off. She cut off contact with everyone in the family, except for one relative approx the same age as our mother, who was given my sister's work phone number. My sister didn't want any responsibility for taking care of our mother. When my mother died, we told that relative, who called my sister and told her about the funeral. My sister didn't want to attend at first, but she showed up. A few days later, she called our father and told him that she never wanted to hear from us again for any reason whatsoever. Then she changed jobs and didn't give that relative her new work phone number, so no one had any way to contact her. About thirty years later, I found out that right after our mother died, she moved from New Jersey to Florida. (She had contacted another relative to say that she was in Florida, but did not give that relative any way to contact her.) For those thirty years, we had absolutely no idea where she was, if she was still in the USA, or even if she was still alive.
Right after I found out that she was in Florida, she sent me a very nasty condolence letter after our father died. (I had no idea where she was or even if she was still alive, so I had no way to tell her about our father's funeral.) I am completely out of contact with her.
As for friends, the friends that I had at the time that my mother got sick all dropped me, because I wasn't as free to hang around with them all the time, and they had plenty of friends who were free to hang around with them. In addition, they all had gotten married, and I hadn't, and they preferred to spend their time with married couples. Some of them went out of their way to tell me that when they felt bad about something, they told themselves that things could be worse - they could be in my position.
I never tried calling them to say, "Hey, my father died, so now I have lots of free time!" But I have made new friends. Sometimes I'm sorry that I don't have long-standing friends, like friends from high school or college, but what can you do? At least I have friends.
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 so very thankful that the 3 of us bonded while providing care for our beautiful mom....I believe it's just what she wanted!
Sence are lives intertwine so much, we kept a polite distance. So the other day I was chatting with her, and Im really not sure what to think. I thought she has just turned into a narcissist that I didn't want anything to do with. Now things are starting to piece together, with little hints, and from what others have said that she just really doesn't like my mother, doesn't think my mom treats me right and backed off because she didn't have anything good to say about her, and didn't want to say her true feelings.
I'm kinda blown away by this. Not sure if I'm going to rekindle this friendship or not. I'm just going to sit on it for a while. I do imagine if the shoe was on the other foot. That is exactly the way I would of acted.
I'm so glad I met her and she's still in my life. Having her as a friend is one of the upsides of this ordeal.
Right after I found out that she was in Florida, she sent me a very nasty condolence letter after our father died. (I had no idea where she was or even if she was still alive, so I had no way to tell her about our father's funeral.) I am completely out of contact with her.
As for friends, the friends that I had at the time that my mother got sick all dropped me, because I wasn't as free to hang around with them all the time, and they had plenty of friends who were free to hang around with them. In addition, they all had gotten married, and I hadn't, and they preferred to spend their time with married couples. Some of them went out of their way to tell me that when they felt bad about something, they told themselves that things could be worse - they could be in my position.
I never tried calling them to say, "Hey, my father died, so now I have lots of free time!" But I have made new friends. Sometimes I'm sorry that I don't have long-standing friends, like friends from high school or college, but what can you do? At least I have friends.