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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 acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
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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:
Letting go of mom is like letting your kindergartner take the bus for the first time. You worry and fret so much you forget to have a good time. Glad you got out, but relax. She will be OK. If you don't let others deal with her, they will stop coming. I turn off my cell sometimes for an hour when I go take a walk. Nothing will happen that they can't find me walking around our block. Remember," If you don't take care of yourself, no one else will."
I spent the entire afternoon yesterday with my girlfriend of 30 plus years we had some great laughs and cries but we still enjoyed our time. however, my brother said I called to check on things to many times but I'll get better because I know this is going to be an on going thing for me to get some time away. thanks you guys!
Caring for yourself is one of the most important, and one of the most forgotten, things you can do as a caregiver... When you do more and more for your loved one, he or she may keep asking for more, making you feel as though you're not doing enough, and this all adds to the guilt and anger, and the real issue is how to handle these feelings. And one of the ways is by taking some time off. Taking a break from caring can help you think things through, relieve stress and tiredness, even taking a few hours off during the day and getting out of the house can make a huge difference... And also giving yourself a day off to feel sad does not mean that you have lost control or that you will not feel positive again. Your feelings are not selfish or insignificant they are just as important as your mom... If you don't take care of yourself, you won't have anything left to give...
It is natural to want a life, and you should have one! Sacrificing your life will only make you bitter in the end. Have a talk with your mother and tell her that you need time. Get someone to take your place. If she says that you are the only one she wants, then she is thinking only of herself and don't fall for it!!!!!!! Church, Senior Services, private care agencies or friends can give you the break you need.
My mom has been with me for 4 years in December. I have hired help to give me the freedom I DESERVE. She has no choice. She pays for it. Many agencies charge a scale according to the amount of hours per week that you use them. Also, medicaid will provide services if her income is low. Look into Senior Services. Call your hospital for numbers or call the Dr. and tell him or her the problem. Many times they have connections. I got my best Saturday night woman from my DR's. receptionist. Her connections brought us a woman who is now family. Good luck. Linda
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.
Linda
When you do more and more for your loved one, he or she may keep asking for more, making you feel as though you're not doing enough, and this all adds to the guilt and anger, and the real issue is how to handle these feelings. And one of the ways is by taking some time off. Taking a break from caring can help you think things through, relieve stress and tiredness, even taking a few hours off during the day and getting out of the house can make a huge difference... And also giving yourself a day off to feel sad does not mean that you have lost control or that you will not feel positive again. Your feelings are not selfish or insignificant they are just as important as your mom...
If you don't take care of yourself, you won't have anything left to give...
My mom has been with me for 4 years in December. I have hired help to give me the freedom I DESERVE. She has no choice. She pays for it. Many agencies charge a scale according to the amount of hours per week that you use them. Also, medicaid will provide services if her income is low. Look into Senior Services. Call your hospital for numbers or call the Dr. and tell him or her the problem. Many times they have connections. I got my best Saturday night woman from my DR's. receptionist. Her connections brought us a woman who is now family. Good luck.
Linda