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.*
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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:
Katiekate is very thorough and thoughtful. When I moved home to care for my parents, my brother suggested the contract. I did not think it was necessary. Today, he and I are waiting for a court date to officially become "guardian" for my mom, because my sister has disagreed with countless details over the past 3 years, particularly discounting their desire to live at home. So, YES - follow Katiekate's advice!!!
Secondly, I would be curious why your friend asked you? What are her needs? As in many cases, homecare needs often align with onset of dementia. If that is the case, you'll need more than a contract, you'll need the legal right to make decisions for her. In Georgia, that document is the GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE.
And finally, you did not mention her family. If she has no family, that's one thing. But, if there are family members, their attitudes can change over time. Find a way now to build an open dialogue between your friend and her family, as it relates to your care-giving.
My best to you both. You've found a wonderful place (this forum) to sort through your thoughts. Folks here are the strength we rely on - silent, invisible but oh so helpful.
First you sit down and you write a contract. It will include the hourly rate of pay. The hours you are expected to be on duty. A comprehensive list of your duties. Be sure the time you are required to work it sufficient to be able to do all the work. The going rate is between $15 and $25 per hour.
what you days off are, vacation coverage? Pay? Then also she must get a payroll company to handle your pay ... tax withholding, Medicare, social security, etc....it is the law...and it protects you! Should you become injured in the job...having regular pay stubs with tax withholding makes you eligible for workers compensation. Don’t do this as a “contractor”. IRS law says all domestic workers are employees not contractors,
if this is a live in position,,,you need to have all this clear up from in writing. How much notice must she give you of termination? What accommodations will be included because you have to move? Do not let this part of the agreement fall by the way side. You have to have written protection. If your rent and utilities are part of your pay...be sure it is equitable. I think it is better to pay rent directly...have your pay be hourly and you just pay to rent a room. Keeps the whole transaction clean.
the establish a pay day.
both of you sign it with a notary. Then proceed according to the terms of the contract.
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.
Katiekate is very thorough and thoughtful. When I moved home to care for my parents, my brother suggested the contract. I did not think it was necessary. Today, he and I are waiting for a court date to officially become "guardian" for my mom, because my sister has disagreed with countless details over the past 3 years, particularly discounting their desire to live at home. So, YES - follow Katiekate's advice!!!
Secondly, I would be curious why your friend asked you? What are her needs? As in many cases, homecare needs often align with onset of dementia. If that is the case, you'll need more than a contract, you'll need the legal right to make decisions for her. In Georgia, that document is the GEORGIA ADVANCE DIRECTIVE FOR HEALTH CARE.
And finally, you did not mention her family. If she has no family, that's one thing. But, if there are family members, their attitudes can change over time. Find a way now to build an open dialogue between your friend and her family, as it relates to your care-giving.
My best to you both. You've found a wonderful place (this forum) to sort through your thoughts. Folks here are the strength we rely on - silent, invisible but oh so helpful.
what you days off are, vacation coverage? Pay? Then also she must get a payroll company to handle your pay ... tax withholding, Medicare, social security, etc....it is the law...and it protects you! Should you become injured in the job...having regular pay stubs with tax withholding makes you eligible for workers compensation. Don’t do this as a “contractor”. IRS law says all domestic workers are employees not contractors,
if this is a live in position,,,you need to have all this clear up from in writing. How much notice must she give you of termination? What accommodations will be included because you have to move? Do not let this part of the agreement fall by the way side. You have to have written protection. If your rent and utilities are part of your pay...be sure it is equitable. I think it is better to pay rent directly...have your pay be hourly and you just pay to rent a room. Keeps the whole transaction clean.
the establish a pay day.
both of you sign it with a notary. Then proceed according to the terms of the contract.