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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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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.
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can i revoke an enduring power of attorney that was made using online forms and signed by a justice of the peace who worked at the hospital when I was really worried about gettings Dads bills paid and new little about the whole business. The forms were downloaded and witnessed also by a social worker at the hospital another nurse and my cousin. Dad is coming home next Tuesday after being in hospital for 8weeks. Having read some things about financial and health enduring power of attorney since this EPOA was done I now wish I could go and have it done properly with a solicitor, I rang the public trustee but she said they wouldnt handle the revoking of a EPOA drawn up this way. She did suggest I hand Dad a letter revoking it and keep a copy.
Is there a way to revoke this EPOA and get a new Solicitor, one done. I was really worried about Dads bills at the time and trusted the social worker and Hospital JP to know how it all worked. The ironical thing is I got a shock when I got to the bank and they wouldnt accept it or pay Dads bills anyway. Until too late for the due date,so my brother in Brisbane had to send up the money to pay before the due date. Finally after much worry the bank finally granted their own POA and I just paid all the bills and reimbursed my brother a couple of days ago. Ironically the Online forms We did at the hospital Administratorere of no use in getting the bills paid on time but now I feel under duress I did this, but now would like to undo it start again and get the papers drawn up legally. would a silicitor be willing to do this. And if I hand Dad a letter revoking the online EPOA will it be accepted as null and void without a lot of legal obstacles.
No point in getting it revoked if no one will accept it. It sounds like there is something faulty with the form. Just get a solicitor to do a new one, and bring it to the house for him to sign.
My mother was living in North Carolina and was brought back to live in Virginia with me and my sister because my father became unable to care for her. She has dementia. My sister and I are listed as her durable power of attorney. Unfortunately I have a brother who is challenging me with transporting my mother back and forth to NC to see our father. Her dementia and heart condition is making it a very bad experience for her. I do not feel it is best to see him in that condition as well as the highway driving since she has an anxiety disorder and does not do well on highways and fast speeds. Can he force my hand? Am I required to give him access to her? He also has taken money from them over the past and had her cosign for a loan. He recently took money out of their account for his personal use although he fibbed and said it was for another reason. His goal is to put my mother in a state facility and take over the house and their remaining assets. This isn't possible based on their asset size but this is his goal. Basically he has no regard for my mother and I'm afraid he will put her in a precarious position because she is unaware of his manipulating disposition. Can I keep him away from her legally? Right now I'm just avoiding his calls.
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.
and signed by a justice of the peace who worked at the hospital when I was really worried about gettings Dads bills paid and new little about the whole business.
The forms were downloaded and witnessed also by a social worker at the hospital another nurse and my cousin. Dad is coming home next Tuesday after being in hospital for 8weeks. Having read some things about financial and health
enduring power of attorney since this EPOA was done I now wish I could go and have it done properly with a solicitor, I rang the public trustee but she said they
wouldnt handle the revoking of a EPOA drawn up this way.
She did suggest I hand Dad a letter revoking it and keep a copy.
Is there a way to revoke this EPOA and get a new Solicitor, one done.
I was really worried about Dads bills at the time and trusted the social worker and
Hospital JP to know how it all worked. The ironical thing is I got a shock when I got to the bank and they wouldnt accept it or pay Dads bills anyway. Until
too late for the due date,so my brother in Brisbane had to send up the money
to pay before the due date. Finally after much worry the bank finally granted
their own POA and I just paid all the bills and reimbursed my brother a couple of days ago.
Ironically the Online forms We did at the hospital Administratorere of no use in getting the bills paid on time but now I feel under duress I did this, but now would like to undo it start again and get the papers drawn up legally.
would a silicitor be willing to do this. And if I hand Dad a letter revoking the online EPOA will it be accepted as null and void without a lot of legal obstacles.