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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.*
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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.
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Why do you think the type of paper matters? Does Ohio require this?
My Mom printed out PoA docs from Legalzoom.com. On those sites you can ask questions to an actual attorrney that practices in your state. In MN where I live nothing was ever mentioned about the type of paper it was printed on.
My own Living Trust and PoA docs from my private CELA was just copier paper.
If you are looking for forms , google legal forms . I forgot which site I used , but I purchased , so they sent me the completed documents. Which was on nice paper…Be choosy.
if you are wondering what type of paper to print it yourself, regular copy paper will do.
Houseboatbarbie, welcome to the forum. Gosh, your Mom is so young to be having dementia. Have your Mom get an Urinary Tract Infection test {UTI]. An UTI can mimic dementia along with other unusual behaviors. This test can be done at her primary doctor's office or at urgent care.
When my Elder Law Attorney printed out all the legal documents that I needed, it was done on regular copy paper, and also on a computer disc. My POA was 16 pages long.
I am not a big fan of using the internet for legal documents as a do-it-yourself. All it takes is one missing word and/or one misplaced word to create a difficult situation. If you prefer to use on-line, use a company that know what questions to ask for your personal situation, and knows about your State laws regarding a POA. My Elder Law Attorney notifies us any time there are changes to State laws that would require a change to our legal documents.
You can't have Mom assign you at this point as POA. With Dementia she cannot sign legal documents. She needs to understand what she is signing. If you think she does, I would have a lawyer draw up the papers. He will question Mom to see if she is competent and understands what she is signing.
My POAs were both typed on heavy ecru colored paper 8x14 which is considered legal size. Both in the same State, different lawyers. Signed by a witness and notarized.
Any regular office paper of decent quality will do. Make several copies. Were I you I would do this with an attorney. He or she will give you the POA papers, keep another original. This POA will not be questioned where the "home done off the internet may be" and this POA will be complete, and cover all you need, for instance selling properties and so on. I did this when my brother made me POA and Trustee of Trust, we both were there, we both were interviewed. It is a strong document. At home, go ahead and make a few copies. Entities are going to want a copy of their own, and may want to make their own copy of the notarized original. You attorney can also make you a letter testamentary type one sheet saying you are serving as POA, and this is often enough to send off in mail to say the utility companies and so on. If you are doing this for someone already mildly impaired this is important if there are family members who say you had an incompetent person do a POA for you; that wouldn't hold up anywhere as someone must understand what they are doing when they assign POA. A document such as you may be planning, only notarized (which only attests to the signature) doesn't examine the person conferring POA, and may be questioned further down the lane when it is truly too late to change things. Good luck.
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.
My Mom printed out PoA docs from Legalzoom.com. On those sites you can ask questions to an actual attorrney that practices in your state. In MN where I live nothing was ever mentioned about the type of paper it was printed on.
My own Living Trust and PoA docs from my private CELA was just copier paper.
if you are wondering what type of paper to print it yourself, regular copy paper will do.
When my Elder Law Attorney printed out all the legal documents that I needed, it was done on regular copy paper, and also on a computer disc. My POA was 16 pages long.
I am not a big fan of using the internet for legal documents as a do-it-yourself. All it takes is one missing word and/or one misplaced word to create a difficult situation. If you prefer to use on-line, use a company that know what questions to ask for your personal situation, and knows about your State laws regarding a POA. My Elder Law Attorney notifies us any time there are changes to State laws that would require a change to our legal documents.
My POAs were both typed on heavy ecru colored paper 8x14 which is considered legal size. Both in the same State, different lawyers. Signed by a witness and notarized.
If you are doing this for someone already mildly impaired this is important if there are family members who say you had an incompetent person do a POA for you; that wouldn't hold up anywhere as someone must understand what they are doing when they assign POA. A document such as you may be planning, only notarized (which only attests to the signature) doesn't examine the person conferring POA, and may be questioned further down the lane when it is truly too late to change things.
Good luck.