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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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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:
My mother too forgot my birthday in her last three years. I know you don't take it personally and I truly empathize with you feeling depressed as episodes like this are just another validation of how bad our parent's diagnosis of dementia truly is. Its heartbreaking to realize a disease like dementia can cause your own mother to forget her daughter's birthday. It's ok to be sad.
This probably hit you hard this year because again it reminds us of how much is lost due to our parent's horrible disease and knowing we can't do much about it.
I empathize with you Lisa as I've been where you are. It's like you have already began the grieving process for the loss of what used to be. Caregivers of family members with dementia sort of begin the grieving process years before the person actually passes away - no wonder it's emotionally draining.
Happy Birthday to you! Today is my birthday too. My mom hasn't remembered my birthday for three years. I went to see her today at her nursing home. Had a nice visit..I got in my car to drive home and the tears just started falling. I got home and hubby and I went to the Diner for dinner. We sat down at our table and told him what happened and again the tears started. Got myself together ate my dinner, didn't want dessert. Heard Happy Birthday being sung and here it's for me with a piece of my favorite chocolate cake, the tears started again. I don't know what was different this year.
I'm very sorry to hear how you feel. It is extremely hard to see our parents decline and lose their memory. And its especially hard when they don't remember our birthdays anymore.
I hear you. Its a long road caring for an elderly parent. We all start to feel like when will it get better? Or how long will this last? It almost feels unbearable at times. Try to give yourself a break if possible. Or try to look for resources in the community or through church.
It is your special day. I will be thinking of you. Happy Birthday! And I hope you will do something for yourself. Or will be able to be with friends or family to celebrate a little.
Sadly when it comes to special days, such as birthdays, if we are dealing with a parent who has memory loss it just comes with the territory that they will forget dates.
My Dad had mild dementia, mainly sundowning, but it was always my Mom who would keep a record of birthdays, anniversaries, etc. Thus when she passed, I figured my Dad may not know it was my birthday, even though I am an only child.
I don't know if your Mom still has the ability to understand the calendar or not. My Dad knew the days because he kept up with the daily newspaper and watched the world news around the clock. But birth dates, forget about it. That was ok, because he remembered all the other 60+ birthdays :)
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.
This probably hit you hard this year because again it reminds us of how much is lost due to our parent's horrible disease and knowing we can't do much about it.
I empathize with you Lisa as I've been where you are. It's like you have already began the grieving process for the loss of what used to be. Caregivers of family members with dementia sort of begin the grieving process years before the person actually passes away - no wonder it's emotionally draining.
Hang in there, my fellow Jersey girl!
I'm very sorry to hear how you feel. It is extremely hard to see our parents decline and lose their memory. And its especially hard when they don't remember our birthdays anymore.
I hear you. Its a long road caring for an elderly parent. We all start to feel like when will it get better? Or how long will this last? It almost feels unbearable at times. Try to give yourself a break if possible. Or try to look for resources in the community or through church.
It is your special day. I will be thinking of you. Happy Birthday! And I hope you will do something for yourself. Or will be able to be with friends or family to celebrate a little.
My Dad had mild dementia, mainly sundowning, but it was always my Mom who would keep a record of birthdays, anniversaries, etc. Thus when she passed, I figured my Dad may not know it was my birthday, even though I am an only child.
I don't know if your Mom still has the ability to understand the calendar or not. My Dad knew the days because he kept up with the daily newspaper and watched the world news around the clock. But birth dates, forget about it. That was ok, because he remembered all the other 60+ birthdays :)