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.
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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.
Share a few details and we will match you to trusted home care in your area:
Never sign your name to docs for others, particularly in ALF, NH, etc. Elder lawyer advised my mother to sign my father’s name and be sure to put “BY” xxxxxxx. And document that she was signing using a DPOA. If she signed her name and suddenly payment for something was needed, she was going to get the bill.
Yes, I would speak to the person who asked you to sign, and explain that you didn't have the understanding that you would share the responsibility for payment, and ask if it can be revised.
Failing that, the only other option I can think of would be to consult a contract attorney, and explain that the terms of the agreement were misrepresented at the time of the signing, and see if you have any legal recourse in the matter.
You can ask the person who told you that the document you were signing did not make you responsible for payment to explain himself. I imagine he will tell you, though, that you must have misunderstood him.
In any case, that person did not force you to sign a contract without reading it, did he. I just don't know what to say.
Does the person you are caring for in fact have sufficient funds to cover his own bills? In other words, will your theoretical responsibility actually mean your having to find real money?
You can go a bit farther with contesting the issue if you want to. But first, some questions:
Who told you that you wouldn't be responsible? I assume this was a verbal statement. Were there witnesses, anyone else on your family side? I.e., who all was present at the time this representation was made?
"...but that is what it says." Peanut, what was it that was signed, and who signed it? And you saw this statement in the contract, or admission papers, or something similar?
First, this is a general observation, i.e., that oral representations aren't valid and don't supercede a contract or other written document.
When did you sign the contract, i.e., how long ago? It might be a long shot, but your state might have a statute providing a signer of a document a certain amount of time to rescind that execution. I've only seen this in sales, such as a contract for purchase of something, and haven't done any research to determine if it's applicable to medical contracts. But in your case, it's worth doing some research.
For whom did you sign? Parent, sibling? And what was the purpose of the contract, i.e., for rehab, for private duty home care?
If the service is covered by Medicare, and the individual for whom the contract was signed has Medicare, it might be that there won't be an issue.
So, please provide more information, it may or may not be an issue, say, if someone with Medicare and a Medigap policy is getting rehab.
And don't mentally beat yourself up. I signed contracts in panicky situations, not even realizing that I should have added the POA qualifier. They were stressful situations, I was relieved I found a good place and didn't even think about adding the qualifier when I signed.
And I never paid anything, b/c all the costs were covered by Medicare and Medigap Plan C.
You signed a document without reading it based just on what someone told you It said? Uh-oh. Get the name and staff position of the person who told you that you would not be responsible for payment. Speak with him/her and tell them you didn’t understand what you were signing because you were under stress. Try and ask for a re-do. It’s your only option.
Send a certified letter ASAP stating that you will not be responsible for costs incurred by "Grandpa Joe". At least, this will put an end date to any damage that has already been incurred.
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.
Failing that, the only other option I can think of would be to consult a contract attorney, and explain that the terms of the agreement were misrepresented at the time of the signing, and see if you have any legal recourse in the matter.
You can ask the person who told you that the document you were signing did not make you responsible for payment to explain himself. I imagine he will tell you, though, that you must have misunderstood him.
In any case, that person did not force you to sign a contract without reading it, did he. I just don't know what to say.
Does the person you are caring for in fact have sufficient funds to cover his own bills? In other words, will your theoretical responsibility actually mean your having to find real money?
Who told you that you wouldn't be responsible? I assume this was a verbal statement. Were there witnesses, anyone else on your family side? I.e., who all was present at the time this representation was made?
"...but that is what it says." Peanut, what was it that was signed, and who signed it? And you saw this statement in the contract, or admission papers, or something similar?
First, this is a general observation, i.e., that oral representations aren't valid and don't supercede a contract or other written document.
When did you sign the contract, i.e., how long ago? It might be a long shot, but your state might have a statute providing a signer of a document a certain amount of time to rescind that execution. I've only seen this in sales, such as a contract for purchase of something, and haven't done any research to determine if it's applicable to medical contracts. But in your case, it's worth doing some research.
For whom did you sign? Parent, sibling? And what was the purpose of the contract, i.e., for rehab, for private duty home care?
If the service is covered by Medicare, and the individual for whom the contract was signed has Medicare, it might be that there won't be an issue.
So, please provide more information, it may or may not be an issue, say, if someone with Medicare and a Medigap policy is getting rehab.
And don't mentally beat yourself up. I signed contracts in panicky situations, not even realizing that I should have added the POA qualifier. They were stressful situations, I was relieved I found a good place and didn't even think about adding the qualifier when I signed.
And I never paid anything, b/c all the costs were covered by Medicare and Medigap Plan C.