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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:
I don't mind the word elderly at all. Especially when I go to an Indian PowWow. It is nice to be counted among the Elders!
I don't know that we have a good way to refer to persons in the fall of their lives. Not a term that everyone embraces willingly.
Taking a "senior discount" is OK with me, but I dislike the term "senior citizen" as it implies everyone else is a junior citizen.
"Older Person" begs the question older than what? Dirt? My granddaughter is older than her son. That is such a relative term I'm not sure it is helpful. If I read in the paper than an older person had been selected for this year's award, I would simply be confused.
I'm glad to be older than I was last year. If fact, I like it so well I think I will keep on getting older as long as I can. Wish we had a better term for it, though.
What about the media when they use the term "elderly".... I want to throw a shoe at the TV when there is a report about an elderly person for this or that, and that person was only 55 years old.
When you think about it, quite a few of our Presidential candidates here in the States are "elderly" :P
By the way, in our island's government, senior citizen starts at age 60. As you can see, each establishments/govt entities/insurance have their own senior citizen age. You will need to google or call them up to get the specifics for each entity.
Prince Frederick MD would take you into senior housing at age 55. But some private apartment complexes want you to be 62 or older. Calvert county considers you a senior at 60.
Different hotel chains have their minimum age for seniors - some is age 56, etc... I think AARP is 55.
Ross dept store is 55. One time I shopped there on a Tuesday and didn't dye my hair (lots of gray hair) - and the cashier suddenly asked me for my driver's license. I thought it was to verify my credit card charge and wondered why she was taking forever staring at my driver's license. So I asked her if there was a problem. She said no. That today is senior citizen discount day and she was going to give me that discount. I think she had problem trying to figure out my age... and miscalculated it.
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 don't know that we have a good way to refer to persons in the fall of their lives. Not a term that everyone embraces willingly.
Taking a "senior discount" is OK with me, but I dislike the term "senior citizen" as it implies everyone else is a junior citizen.
"Older Person" begs the question older than what? Dirt? My granddaughter is older than her son. That is such a relative term I'm not sure it is helpful. If I read in the paper than an older person had been selected for this year's award, I would simply be confused.
I'm glad to be older than I was last year. If fact, I like it so well I think I will keep on getting older as long as I can. Wish we had a better term for it, though.
When you think about it, quite a few of our Presidential candidates here in the States are "elderly" :P
Ross dept store is 55. One time I shopped there on a Tuesday and didn't dye my hair (lots of gray hair) - and the cashier suddenly asked me for my driver's license. I thought it was to verify my credit card charge and wondered why she was taking forever staring at my driver's license. So I asked her if there was a problem. She said no. That today is senior citizen discount day and she was going to give me that discount. I think she had problem trying to figure out my age... and miscalculated it.