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'm so sorry you lost your. mom. I recently lost my Dad and my Mom is in a memory care. I don't have my own family either and my siblings were not supportive of me.. so I am also going it alone.
It is a hard lonely road of grief.... especially without family support. Keep posting here as there are lots of supportive people... or message me sometime..
Joyce I am so sorry you have lost your mom. If this is a recent loss you must give yourself some time to adjust. Try to find a support group to share your grief. I’m glad you came here. Would you like to tell us more about what happened? Try to keep a regular routine with bathing and dressing and eating, getting out for walks and taking rest. The rhythm of life will return. You honor your mom by caring for yourself. Take care.
Yes, I understand your feelings. I lost my dad in 1996, and now I am losing my mom. I have been through two divorces, two attempts on my life ( car wreck with severe head injury, and cancer), and I am an only child. No children, grandchildren, and the child I raised with husband #2 doesn't contact me and I have no idea where he is for the past eight years or so. My life was my job, and now it's gone as well. So, like I have done since I was 13 years old, I do volunteer work when I can, relish offers of doing something with someone if they want to get together, and try to find a reason to keep on going while I deal with my mom. It is hard, very hard. Each day I wake up wondering if today is the day I get the call that my mom has died. I've seen this same pattern with my uncle, and it nearly took his life after dealing with a wife who had Alzheimer's. It has been a hard struggle, but he is now about 10 years past her death, and he found a reason to go on. Do what you can for yourself. Church? Volunteer? See what is out there so that you can feel needed and wanted and help others as well. There are many opportunities out there to be useful to someone or something. Keep in touch with us on this site. We are facing similar situations as well. We need each other even though we don't know each other.
When my Mama died I had found that getting back into my regular routine helped. I had a class I was taking, I continued that, I had hobby groups that I started attending again (because she was so sick for so long that I had to stop attending but I started again and was welcomed back with open arms). I attended one of those paint nights. But now that my Daddy is sick I had to stop my hobby classes again. However, the people keep in touch with a phone call or a text now and then. Also, I have a very close friend that attends those classes and she keeps me up to date. blessings hgnhgn
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'm so sorry you lost your. mom. I recently lost my Dad and my Mom is in a memory care. I don't have my own family either and my siblings were not supportive of me.. so I am also going it alone.
It is a hard lonely road of grief.... especially without family support. Keep posting here as there are lots of supportive people... or message me sometime..
((hugs))
I am so sorry you have lost your mom. If this is a recent loss you must give yourself some time to adjust. Try to find a support group to share your grief. I’m glad you came here. Would you like to tell us more about what happened? Try to keep a regular routine with bathing and dressing and eating, getting out for walks and taking rest. The rhythm of life will return. You honor your mom by caring for yourself. Take care.
blessings
hgnhgn