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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 father is 90 and has a terribly impatient nature. He really does not need to be behind the wheel of a car anymore. He is not willing to stop driving on his own. What are our resources?
There are several approaches. You know your dad best, so you have to determine what path to take. Don't be afraid to get creative. Safety is the goal here.
My mother's dementia was too severe for her to drive safely, but she refused to admit it. Her vision was shot and so was her judgment. She did not care if she killed a car load of babies.
I had my mother's doctor fill out the form to get a handicapped placard. He checked the box that said applicant is no longer allowed to drive. (THANK YOU!) When we took it to the DMV, they also replaced a driving license with just a state ID with her picture on it. She did not believe me or the DMV lady that it was not a driving license.
You can let the doctor know ahead of time what your concerns are and find out if they can help you out this way. Do a little vision test in the office and find that his vision isn't good enough anymore. The doctor can then notify the DMV.
We tried to "trade in" mom's car and gosh, the Buick dealership wouldn't give us a $1 for it. For some reason, it just had too many problems and was dangerous to drive. Wink wink. So we donated it and took that off her taxes the next year! Hearing that from a "real mechanic" made a difference in her mind...finally.
At this time period mom moved into a senior facility that had a shuttle to everything and everywhere. It was $1 to use. There was absolutely no need to drive anymore, and it actually provided more access to more places than she would have had otherwise. She wouldn't take the shuttle, but that was due to other emerging decline.
In North Carolina go to ncdot.gov and download the "Request for Re-Examination." Let the department of transportation do the rest. If he passes the re-exam he can drive. That way it is out of your hands. Being impatient is not reason for denial of privileges.
Good luck convincing your Dad to stop driving.... it's like taking away their independence, they want to hang onto that for as long as they can. When you remove something from an elder, you need to replace it with something else.
If you volunteer to drive him anywhere he wants, set boundaries from day one, or you will be driving all over hill and dale. My parents wanted to get out of their house 2 to 3 times PER DAY... Mom to go to 3 different grocery stores to buy 3 or 4 items each store. I didn't set boundaries until the 5th year of doing all that... it wasn't easy.
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 mother's dementia was too severe for her to drive safely, but she refused to admit it. Her vision was shot and so was her judgment. She did not care if she killed a car load of babies.
I had my mother's doctor fill out the form to get a handicapped placard. He checked the box that said applicant is no longer allowed to drive. (THANK YOU!) When we took it to the DMV, they also replaced a driving license with just a state ID with her picture on it. She did not believe me or the DMV lady that it was not a driving license.
You can let the doctor know ahead of time what your concerns are and find out if they can help you out this way. Do a little vision test in the office and find that his vision isn't good enough anymore. The doctor can then notify the DMV.
We tried to "trade in" mom's car and gosh, the Buick dealership wouldn't give us a $1 for it. For some reason, it just had too many problems and was dangerous to drive. Wink wink. So we donated it and took that off her taxes the next year! Hearing that from a "real mechanic" made a difference in her mind...finally.
At this time period mom moved into a senior facility that had a shuttle to everything and everywhere. It was $1 to use. There was absolutely no need to drive anymore, and it actually provided more access to more places than she would have had otherwise. She wouldn't take the shuttle, but that was due to other emerging decline.
Good luck convincing your Dad to stop driving.... it's like taking away their independence, they want to hang onto that for as long as they can. When you remove something from an elder, you need to replace it with something else.
If you volunteer to drive him anywhere he wants, set boundaries from day one, or you will be driving all over hill and dale. My parents wanted to get out of their house 2 to 3 times PER DAY... Mom to go to 3 different grocery stores to buy 3 or 4 items each store. I didn't set boundaries until the 5th year of doing all that... it wasn't easy.