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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
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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:
If she is competent to make decisions you cannot get guardianship. If she won't assign someone POA thats her choice. What u may want to tell her, without assigning someone POA for Financial and Medical if there comes a time when she needs care and you can't do it, the State can take over. Meaning a stranger will be making decisions for her.
You don't GET a POA. It is GIVEN to you. That is to say someone ASKS you to serve as their POA. They must be mentally competent to do so.
Please do research online as this is a big job. You serve to do the bidding of the person who gives you POA. That is to say you don't do as YOU wish, but as the Principal who appoints you asks you to do. When that person isn't competent LEGALLY anymore then you do what is in their best interest. You are beholden to keep track of every penny into and out of their accounts. The POA should be written by a good attorney or the banks will not accept it. You should know how to be on accounts, how to sign checks as POA and etc.
Many people suggest that you get a POA form online and have your elder sign it and get it notarized. Banks often will not accept such a document. First of all a notary attests only that the signature is the signature of the one signing, not that they are competent to sign a document. Especially in the case of someone who cannot see, banks would not accept such a document. They need a clear well written POA where an Attorney examined the person signing and the POA for competency. They are beholden to protect their depositors under the law. You can imagine that just anyone could otherwise waltz in with some bogus document.
You have some research now to do about what is POA is, how it should be done, and whether or not you are capable of handling the job.
If your mother is refusing to "sign things" can you tell us a bit more about what these "things" are? Is your mother competent to make her own decisions or is she DIAGNOSED with dementia? Best wishes to you.
Filling out your profile will help us to help you. If your senior needs help, is blind and incompetent and refuses your help you may be looking at guardianship, but that is a huge job and costly to get.
Do know that it isn't wise for TWO people to do POA work. One should be the POA and the other named as "second" or successor in case the first is unable for some reason to serve. You otherwise open yourself to arguments and bickering that can change your family forever.
If she refuses to sign anything you can't. You would have to become her Guardian. That can be involved, expensive and time consuming.
Now, why will she not sign "anything"? Have you explained that if something happened to her not having a POA will make it difficult for anyone to make decisions for her if she can't? Have you explained that if there is no one to make decisions then a Court will appoint a stranger? Maybe those thoughts might get her to thinking.
All that said...If it is your mom that you are taking care of that has dementia, the person mentioned in your profile.... If she has been diagnosed with dementia and you take her to an attorney to sign ANYTHING and the attorney does not think she is capable of understanding the documents that she is going to sign then they will not allow her to make anyone POA. At that point either you or your brother would have to become her Guardian. (easier for any number of reasons to have only one appointed Guardian.)
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.
Please do research online as this is a big job. You serve to do the bidding of the person who gives you POA. That is to say you don't do as YOU wish, but as the Principal who appoints you asks you to do. When that person isn't competent LEGALLY anymore then you do what is in their best interest. You are beholden to keep track of every penny into and out of their accounts. The POA should be written by a good attorney or the banks will not accept it. You should know how to be on accounts, how to sign checks as POA and etc.
Many people suggest that you get a POA form online and have your elder sign it and get it notarized. Banks often will not accept such a document. First of all a notary attests only that the signature is the signature of the one signing, not that they are competent to sign a document. Especially in the case of someone who cannot see, banks would not accept such a document. They need a clear well written POA where an Attorney examined the person signing and the POA for competency. They are beholden to protect their depositors under the law. You can imagine that just anyone could otherwise waltz in with some bogus document.
You have some research now to do about what is POA is, how it should be done, and whether or not you are capable of handling the job.
If your mother is refusing to "sign things" can you tell us a bit more about what these "things" are?
Is your mother competent to make her own decisions or is she DIAGNOSED with dementia?
Best wishes to you.
Filling out your profile will help us to help you.
If your senior needs help, is blind and incompetent and refuses your help you may be looking at guardianship, but that is a huge job and costly to get.
Do know that it isn't wise for TWO people to do POA work. One should be the POA and the other named as "second" or successor in case the first is unable for some reason to serve. You otherwise open yourself to arguments and bickering that can change your family forever.
You would have to become her Guardian.
That can be involved, expensive and time consuming.
Now, why will she not sign "anything"?
Have you explained that if something happened to her not having a POA will make it difficult for anyone to make decisions for her if she can't?
Have you explained that if there is no one to make decisions then a Court will appoint a stranger?
Maybe those thoughts might get her to thinking.
All that said...If it is your mom that you are taking care of that has dementia, the person mentioned in your profile....
If she has been diagnosed with dementia and you take her to an attorney to sign ANYTHING and the attorney does not think she is capable of understanding the documents that she is going to sign then they will not allow her to make anyone POA. At that point either you or your brother would have to become her Guardian. (easier for any number of reasons to have only one appointed Guardian.)