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.
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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.*
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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:
Mine too. She's in complete denial about it and says she's "Big Sexy" and that I should stop "hating." Add to that smoking like a chimney. Can't walk two blocks without stopping to catch her breath.
When she lived with me for 3 1/2 endless years -- and since I controlled the food -- I introduced her to handball; and she trimmed down quite a bit and regained most of that girlish figure she used to have. (Breasts remained balloon size, which made her very popular with the "homeboys.") I baked instead of frying, made oatmeal with raisins and nuts in the morning instead of running to McDonald's across the street for breakfast, and ragged her about dropping by that greasy cuchifrito with all those heart attacks on a plate displayed on the windows. I also forbade smoking in the house. She switched from Marlboro to Virginia Slims and gave me some dopefiend story about the Slims being "healthier" for her. BS!!! It's still smoking and therefore not allowed. Her "But I'm your mother!" didn't fly with me either.
For 3 1/2 years she could breathe, move, and felt good about herself. I see her once in a while, and her ubiquitous "I'm old and fat now ..." stresses me out so much that I snapped at her last Friday. "That's your choice! ... When you go back to breathing, moving, and eating right instead of smoking like a crackhead and gorging your problems away at the cuchifrito then you'll feel better about yourself. Until then, I don't want to hear it." ... Yesterday she told me her "man" bought her a treadmill. I hope she doesn't use it to hang her clothes to dry or keep her poodle in shape.
I suggest you stop beating around the bush and give it to her straight without being crude, crass, and obscene. Remember: honesty without compassion is brutality.
Good luck my friend, and let me know what happens.
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.
Mine too. She's in complete denial about it and says she's "Big Sexy" and that I should stop "hating." Add to that smoking like a chimney. Can't walk two blocks without stopping to catch her breath.
When she lived with me for 3 1/2 endless years -- and since I controlled the food -- I introduced her to handball; and she trimmed down quite a bit and regained most of that girlish figure she used to have. (Breasts remained balloon size, which made her very popular with the "homeboys.") I baked instead of frying, made oatmeal with raisins and nuts in the morning instead of running to McDonald's across the street for breakfast, and ragged her about dropping by that greasy cuchifrito with all those heart attacks on a plate displayed on the windows. I also forbade smoking in the house. She switched from Marlboro to Virginia Slims and gave me some dopefiend story about the Slims being "healthier" for her. BS!!! It's still smoking and therefore not allowed. Her "But I'm your mother!" didn't fly with me either.
For 3 1/2 years she could breathe, move, and felt good about herself. I see her once in a while, and her ubiquitous "I'm old and fat now ..." stresses me out so much that I snapped at her last Friday. "That's your choice! ... When you go back to breathing, moving, and eating right instead of smoking like a crackhead and gorging your problems away at the cuchifrito then you'll feel better about yourself. Until then, I don't want to hear it." ... Yesterday she told me her "man" bought her a treadmill. I hope she doesn't use it to hang her clothes to dry or keep her poodle in shape.
I suggest you stop beating around the bush and give it to her straight without being crude, crass, and obscene. Remember: honesty without compassion is brutality.
Good luck my friend, and let me know what happens.
-- ED