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:
My reading of the rules is that in order to legally set up and account for someone else you have to first be listed for authorization on their accounts. The rules are online or you could call to get them.
I was able to register my mother on every website that I needed to access in order to fulfill my duties as POA. My POA specifically states that I can use websites on my mother's behalf.
The only agency that makes it impossible is the VA; they do not recognize a POA; they have their own form that you have to fill out and have your mother sign and then send to the VA. And then......typically with the VA.....it will sit in someone's "to do" file for months.
Just a caution: Everyone who has a POA should go take it out and read it carefully. Laws change. My mother's POA in 2007 was about 7 pages. I made several copies and sent a copy with a cover letter to all her medical providers, insurance companies and credit card companies; anyone I wanted to be able to speak to on my mother's behalf. In 2012, her lawyer revised the POA and it turned into a 33 page POA. I was very angry ---- initially. Because copying and sending a 33 page document to all those places again was going to be very expensive. Very few of them would accept it by email. Then, I read the "new" POA, and I was glad that the lawyer revised it. That "website" clause was added, and several other clauses that reflect our more modern technology world, and it has been incredibly helpful to me.
Also, not every POA is the same. Some do not come into legal effect until your LO is incapacitated. That is a choice that your LO can make, but it doesn't have to be the choice. Some come into effect simply by virtue of your LO giving you --- literally, handing you ---- the "originally signed" document.
So, everyone, get out your POA and read and take notes. Or make a copy and use a yellow highlighter for sections you have questions about. [yellow highlighters do not show up when at all when copying.......true].
Yes and especially since you are POA. If there is no on-line account established yet it's actually pretty easy as long as you have all the pertinent info.
Oh and it just hit me this might be an important clarification for others reading through this in the future, it is not meant to chastise. You have POA for her not over her, an important distinction when thinking and talking about it with officials. POA gives you the authority to act on the persons behalf and as they direct or want not to act against their will or make them do things they don't want to. When you sign a document as POA you are signing as your LO. DPOA gives you the right to act in their best interest even if they don't agree once they have been declared incompetent, unable to understand whats in their best interest. Acting with POA authority can be superseded by the primary anytime.
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.
My Dad was also throwing away bills thinking they were junk mail :P
My POA specifically states that I can use websites on my mother's behalf.
The only agency that makes it impossible is the VA; they do not recognize a POA; they have their own form that you have to fill out and have your mother sign and then send to the VA. And then......typically with the VA.....it will sit in someone's "to do" file for months.
Just a caution: Everyone who has a POA should go take it out and read it carefully. Laws change. My mother's POA in 2007 was about 7 pages. I made several copies and sent a copy with a cover letter to all her medical providers, insurance companies and credit card companies; anyone I wanted to be able to speak to on my mother's behalf. In 2012, her lawyer revised the POA and it turned into a 33 page POA. I was very angry ---- initially. Because copying and sending a 33 page document to all those places again was going to be very expensive. Very few of them would accept it by email. Then, I read the "new" POA, and I was glad that the lawyer revised it. That "website" clause was added, and several other clauses that reflect our more modern technology world, and it has been incredibly helpful to me.
Also, not every POA is the same. Some do not come into legal effect until your LO is incapacitated. That is a choice that your LO can make, but it doesn't have to be the choice. Some come into effect simply by virtue of your LO giving you --- literally, handing you ---- the "originally signed" document.
So, everyone, get out your POA and read and take notes. Or make a copy and use a yellow highlighter for sections you have questions about. [yellow highlighters do not show up when at all when copying.......true].