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:
I did go through the Bereavement counseling at the Hospice I/we used. I was not sure it was going to do much for me but I was wrong. It did help. I am not typical though I was volunteering for the Hospice while my Husband was no Hospice. So I had a good sort of built in support group and I am also in 2 support groups that have helped and I am proud to say I have helped others in my groups by sharing what I have done and learned. If you have any questions about the support offered sit in on a few and if they don't "click" with you I am sure they have other groups. Just like buying a pair of shoes you might have to try on more than 1 to find a perfect fit.
The local Hospice agency in my town is a bit different than Hospice in the US. It provides support, counseling and various therapies to the dying and their family. Currently it does not provide medical care, as is provided in the USA.
Medical care for the dying is provided my our local Health Authority, either in home, hospital or a care facility.
Mum participated in the counseling, when my step dad died in November. It was very supportive and met her needs.
One benefit for family members can be some contact after the patient has died. Caregivers at home are often used to many different agency staff trooping in and out of the house, while the caregiver finds it impossible to keep up their own friendships. Some of the relationships with agency people can be very deep. When the patient dies, the carer's world collapses. Contact for a short time with the hospice staff can help a lot.
From my experience hospice was a huge blessing and the services they provided were not something you could get elsewhere, this is their job and we found them to be wonderful professionals that eased the loss of my sister.
I highly recommend taking advantage of the services they offer.
I wish I could say something good, she was so excited to be on hospice bc of the attention but I was lied to.
Every time I tried to address with mom barked knows what she's doing. I was told she refused antibiotics for UTI, well she didn't but also had no access without calling 911 first.
They have contracts for time periods, she got stuck with bills for breaking protocol and getting non urgent which is defined by broken bone or similar.
They were only local Hospice.
They actually took her oxygen tanks, belinged to them before she could set up replacements.
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 was not sure it was going to do much for me but I was wrong. It did help.
I am not typical though I was volunteering for the Hospice while my Husband was no Hospice. So I had a good sort of built in support group and I am also in 2 support groups that have helped and I am proud to say I have helped others in my groups by sharing what I have done and learned.
If you have any questions about the support offered sit in on a few and if they don't "click" with you I am sure they have other groups. Just like buying a pair of shoes you might have to try on more than 1 to find a perfect fit.
Medical care for the dying is provided my our local Health Authority, either in home, hospital or a care facility.
Mum participated in the counseling, when my step dad died in November. It was very supportive and met her needs.
I highly recommend taking advantage of the services they offer.
How are you holding up Sego?
I wish I could say something good, she was so excited to be on hospice bc of the attention but I was lied to.
Every time I tried to address with mom barked knows what she's doing. I was told she refused antibiotics for UTI, well she didn't but also had no access without calling 911 first.
They have contracts for time periods, she got stuck with bills for breaking protocol and getting non urgent which is defined by broken bone or similar.
They were only local Hospice.
They actually took her oxygen tanks, belinged to them before she could set up replacements.
I hope you find better.
God bless
xo