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:
Call your local Area Development District. That's how we got ours. They put me in contact with a group of retired gentlemen who volunteered to do it. The materials and labor were volunteered. All they asked was if I could give a reasonable donation so that they could restock for others in need. They didn't specify an amount. I was able to just "give what I could ". If you can't get in touch with them, ask if your clinic has a liaison for help.
You’ve reached a forum of current and former caregivers from everywhere. In my area there’s a local Christian based ministry that builds wheelchair ramps for elderly homeowners in need. My husband built one along with other volunteers last weekend. He’s participated for years. You can check your local area for groups like this and hopefully there will be something. Call the bigger churches and the senior services agency to inquire. I wish you well in finding the best help
Start with your local Area Agency on Aging. Find yours by calling the Eldercare Locator at 1-800-677-1116 or visiting eldercare.acl.gov. They may know of local programs that help pay for or install ramps.
- Rebuilding Together (rebuildingtogether.org). Some of their local chapters build wheelchair ramps for qualifying homeowners at no cost.
- your local Habitat for Humanity, churches, Lions Clubs, and community volunteer organizations. Maybe even the Boy Scouts.
Some communities also have programs that loan portable ramps.
If you own your home and live in a rural area, the USDA has a home repair grant program for qualifying homeowners age 62 and older.
This is a global forum...what state and county do you live in? And do you own or rent your home? That would help narrow down the resources available to you.
i live in a town of 300 in the state of Iowa with nearest at place for me to go is 50 miles away. your inform owning the information is very helpful. as for owning the home is we have life use. so i guess that means we actually don't own it.
Is your husband a Veteran? If so the VA can help. Get him connected with the services that the VA offers.
You can check with your local Senior Center see if they have any. Is there a Lending Closet in your area? If so they may have one. You could also ask your local Scout Troup if they would be willing to build one as a Community Project. Or the local High School one of the Shop Classes might do this. You may have to be willing and able to purchase the materials.
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.
If you can't get in touch with them, ask if your clinic has a liaison for help.
- Rebuilding Together (rebuildingtogether.org). Some of their local chapters build wheelchair ramps for qualifying homeowners at no cost.
- your local Habitat for Humanity, churches, Lions Clubs, and community volunteer organizations. Maybe even the Boy Scouts.
Some communities also have programs that loan portable ramps.
If you own your home and live in a rural area, the USDA has a home repair grant program for qualifying homeowners age 62 and older.
This is a global forum...what state and county do you live in? And do you own or rent your home? That would help narrow down the resources available to you.
You can check with your local Senior Center see if they have any.
Is there a Lending Closet in your area? If so they may have one.
You could also ask your local Scout Troup if they would be willing to build one as a Community Project. Or the local High School one of the Shop Classes might do this. You may have to be willing and able to purchase the materials.