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:
We've been self employed since 2005, with "no" so-called "health" insurance. We purchased a policy which has an amazingly high deductable. (I went to the doctor once in 2006 for a spider bite, but that's been it! I'm 53.) The high-deductable private policies don't cost as much for premiums, but are meant to cover you if you have a truly huge medical bill like an emergency surgery or something. Staying healthy has proven to be more cost-effective for us! :-) What checkups are you talking about that you've missed?
See if you can access this pdf. it is called Getting Covered: Finding Health Insurance When You Lose Your Job
it discusses in detail each of these options: Your Options: Find out if you can get coverage through your spouse’s or domestic partner’s employer.1. Find out if you can continue your coverage through COBRA. 2. Find out if your state has any laws or programs that could help you.3. Find out if you are protected under another federal law called HIPAA (the Health 4. Insurance Portability and Accountability Act). Find out if you are eligible for Trade Adjustment Assistance and the Health Coverage Tax 5. Credit that comes with it. Find out if you or any of your family members are eligible for Medicaid, the Children’s 6. Health Insurance Program (CHIP), any other state or local program, or VA coverage. If you can’t afford COBRA and you can’t get help through a public program or any of the 7. options listed above, shop for insurance in the individual market—but do so with CAUTION.
I need a colonostropy because I have colidoss and Its been really bad and I havent been feeling well. I had one done 7 years ago. colon cancer runs in my family. I also need obgyn Pap smear every 6 mth low grade bad cells now its been almost a year and manography. really just interested in cancer screenings
You can try this govt site that lets you search for programs in your area.
http://findahealthcenter.hrsa.gov/GoogleSearch_HCC.aspx It is US Dept of Health and Human Services and states: Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide checkups when you're well treatment when you're sick complete care when you're pregnant immunizations and checkups for your children dental care and prescription drugs for your family mental health and substance abuse care if you need it Health centers are in most cities and many rural areas. Type in your address and click the 'Find Health Centers' button to find health centers near you
In the meantime, please do what you can to protect your health such as eating a high fiber diet (soluble and insoluble fiber), drinking lots of pure water (100 oz minimum per day) and eating healthy, close to nature foods. Digestive enzymes help animal proteins break down rather than rot in the gut. Proper food combining is a MUST for colon health, and you can easily research that for no cost online. Probiotics are essential as well. All the best to you! Ruth
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.
See if you can access this pdf. it is called
Getting Covered:
Finding Health Insurance
When You Lose Your Job
it discusses in detail each of these options:
Your Options:
Find out if you can get coverage through your spouse’s or domestic partner’s employer.1.
Find out if you can continue your coverage through COBRA. 2.
Find out if your state has any laws or programs that could help you.3.
Find out if you are protected under another federal law called HIPAA (the Health 4. Insurance Portability and Accountability Act).
Find out if you are eligible for Trade Adjustment Assistance and the Health Coverage Tax 5. Credit that comes with it.
Find out if you or any of your family members are eligible for Medicaid, the Children’s 6. Health Insurance Program (CHIP), any other state or local program, or VA coverage.
If you can’t afford COBRA and you can’t get help through a public program or any of the 7. options listed above, shop for insurance in the individual market—but do so with CAUTION.
http://findahealthcenter.hrsa.gov/GoogleSearch_HCC.aspx
It is US Dept of Health and Human Services and states:
Federally-funded health centers care for you, even if you have no health insurance. You pay what you can afford, based on your income. Health centers provide
checkups when you're well
treatment when you're sick
complete care when you're pregnant
immunizations and checkups for your children
dental care and prescription drugs for your family
mental health and substance abuse care if you need it
Health centers are in most cities and many rural areas. Type in your address and click the 'Find Health Centers' button to find health centers near you
Ruth