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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
✔
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 cared for my mom for years through Alzheimer's and was blessed to be holding her hand as she took her final breath.
Mourning the mom you have always known is normal. Now I find I miss two mom's, the one that I always loved and called when I had a question..... And the tiny, frail mom I loved and cared for in the final years.
I am sorry you have to walk this path... But I am sure that inside, your mom is so happy she has you.
When my mother started showing signs of cognitive decline, I kept looking and latching on to signs that she was still there. Mom had been diagnosed by a neurologist and geriatric doctor as having dementia, and I was given indication of what to expect, but still held hope that mother that I knew was there. After one particular horrible encounter with her put me into an emotional tailspin. I had to step back, and I found myself going through a grieving process in accepting that the person who nurtured and loved me was no longer there. In doing this I had to take time away from being around her, so that I could heal and be there for her in a way that was healthy for both of us. I still feel pain of knowing my mother is no longer who she once was, but I’ve accepted dementia is the reason why.
I think this is a common feeling that many people have felt. The person that is being cared for changes so much that they truly aren’t the same person anymore.
I wish we all had magic wands and could wave illnesses and disease away.
Grief is a normal emotion for someone caring for an AD LO even before death. We experience both "anticipatory" and "ambiguous" grief. Anticipatory is the feeling of expecting someone's death. There is no cure or even treatment for AD so death is anticipated. Ambiguous grief is watching our LO slowly decline and not being with us mentally, but still alive. Most of us go thru one or the other or both types of grieving. We all deal with it in our own ways and eventually have to work thru it so it doesn't consume our own lives. Don't assume that "time will heal all". It's what you DO with that time that will help to bring you to peace.
There are some excellent books on grief and grieving. "The Grief Recovery Handbook", "The Essential Guide to Grief and Grieving", and "How to go on Living When Someone You Love Dies", among others. Check with your library or Amazon to find these.
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.
Mourning the mom you have always known is normal. Now I find I miss two mom's, the one that I always loved and called when I had a question..... And the tiny, frail mom I loved and cared for in the final years.
I am sorry you have to walk this path... But I am sure that inside, your mom is so happy she has you.
After one particular horrible encounter with her put me into an emotional tailspin. I had to step back, and I found myself going through a grieving process in accepting that the person who nurtured and loved me was no longer there. In doing this I had to take time away from being around her, so that I could heal and be there for her in a way that was healthy for both of us. I still feel pain of knowing my mother is no longer who she once was, but I’ve accepted dementia is the reason why.
I wish we all had magic wands and could wave illnesses and disease away.
Take care.
There are some excellent books on grief and grieving. "The Grief Recovery Handbook", "The Essential Guide to Grief and Grieving", and "How to go on Living When Someone You Love Dies", among others. Check with your library or Amazon to find these.