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.*
✔
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:
Yes, your Mom can remove you as Power of Attorney if she understand what the change in the POA means at the time that she signs the Revocation form and the new Durable-POA or Healthcare-DPOA form(s). As mentioned before, if an attorney is involved in the change of POA, then you most likely will receive a letter or a copy of the "Revocation of Power of Attorney" form that your Mother signed. You might not receive a copy of the new POA form that she signed if you are not the new POA.
My Mom changed her Durable-POA from me to our family lawyer 4 months after she went to live in a nursing home. She was able to talk coherently about her finances and about her current living situation (in between episodes of delusions) so she was "encouraged" to change her Durable-POA since she thought (erroneously) that my brother and I were stealing from her and that we had gambled away the farms. I had to petition for guardianship and conservatorship; and after several thousand dollars and a multitude of meetings with various attorneys, the Attorney Ad Lidem, assigned by the court to represent my Mother, decided that my Mother was mad at my brother and me and that she really did NOT know what she was doing when she signed the Revocation form and the new Durable-POA form. The Attorney Ad Lidem recommended that the Durable-POA be returned to me and the court agreed.
So depending on your situation, you may or may not be notified of the change of POA. And depending on your situation, you may or may not have to petition to regain POA or to get guardianship &/or conservatorship of your Mother.
If she can understand what the change in the POA means, yes, she can change it.
If she is doing this through a lawyer the lawyer should notify you. If she is doing this through a friend or on her own, there is no requirement that she notify you, but certainly that is the sensible thing to do!
mamasmama, it depends on what stage your Mom's dementia. If your Mom is at a point where she cannot understand legal documents, then I doubt she would be able to make any changes to the Power of Attorney.
It is possible and I don't know if you would be notified. I would talk with her care providers and an elder law attorney about this possibility. I'm not sure of your exact circumstances, but maybe try to have a family meeting with her and an attorney to ensure everyone is on the same page.
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 changed her Durable-POA from me to our family lawyer 4 months after she went to live in a nursing home. She was able to talk coherently about her finances and about her current living situation (in between episodes of delusions) so she was "encouraged" to change her Durable-POA since she thought (erroneously) that my brother and I were stealing from her and that we had gambled away the farms. I had to petition for guardianship and conservatorship; and after several thousand dollars and a multitude of meetings with various attorneys, the Attorney Ad Lidem, assigned by the court to represent my Mother, decided that my Mother was mad at my brother and me and that she really did NOT know what she was doing when she signed the Revocation form and the new Durable-POA form. The Attorney Ad Lidem recommended that the Durable-POA be returned to me and the court agreed.
So depending on your situation, you may or may not be notified of the change of POA. And depending on your situation, you may or may not have to petition to regain POA or to get guardianship &/or conservatorship of your Mother.
If she is doing this through a lawyer the lawyer should notify you. If she is doing this through a friend or on her own, there is no requirement that she notify you, but certainly that is the sensible thing to do!
It is possible and I don't know if you would be notified. I would talk with her care providers and an elder law attorney about this possibility. I'm not sure of your exact circumstances, but maybe try to have a family meeting with her and an attorney to ensure everyone is on the same page.