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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
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:
That is so ugly and scary, Cwillie. If I remember correctly, there was one teacher with that look, and it wasn't halloween. Mostly though, I loved all my teachers, throughout the years.
So, now I have my pumpkin on. Instead of risking a copyright protected photo off the internet, this one is a real family photo.! My avatar is a carved pumpkin that my artist brother carves every year for display at his store. Looks a little like him....lol.
Oh, BTW, I have a calendar in each room. Something I can recommend to seniors who often lose track of what day it is. I recommend writing appointments on only one calendar. These are spooky times for many seniors. I see it as an opportunity for God to work in our lives, instead of giving up and resolving that It is what it is".
Cwillie, Just too busy to check if someone else did their jobs correctly or messed up more of the calendar. Decided not to try to do things perfectly, because now I have different priorities. If I am awake, if someone comes to the door, if I hear it, I will give out some candy, and then turn out the lights, lock the doors, go to bed, and not answer the door. Not Sunday night, not Monday night! The calendar is just one more thing that I can no longer trust, but that's okay. Why is it okay? Because I am the keeper of the chocolate candy!
Got this calendar on clearance the first of October. No one said it was defective! There was no Oct. 31st. Was wondering, again-when do we turn out the lights, pretend no one's home, and get to eat all the candy? Sunday night, Monday night?
I'm going te re-enter my Jack-o-lantern from last year. This was actually done by my Eldest Son with a real fishbowl insert, and real fish inside too! Pretty Spooky!
Some beautiful pumpkins tonight, and some ugly ones too. Great effort everyone! Can you post on this thread so they can all be seen together? Love, from the Ugly Pumpkin
Hey, good idea............check expiry date on candy. If it's soon........you have an excuse to eat it all. Hang on.........just putting my jacket on.......gotta run to the nearest junk food store.
Stacey, Your comment about prizes from last year-let's have Ms. Madge award the prizes, just after the VOTE! She is still trying to figure out how to mail in n out burgers to Canada! ha ha, lol.
That avatar is a monkey, and I'm sticking to it! For a short while, at least.
Has anyone seen the latest Halloween Avatars-they are actually photos of people! Scary, huh? I think people are the scariest. Lol.
Cwillie, Thanks only to you, and your example of what to do with halloween candy, (that would be to eat all of it, then buy more), I bought 18 packaged candy bars. They are sealed in the box, hmmmn.
Cwillie, You were supposed to buy pumpkins. Was the candy at the dollar store chocolate? Was it expired, or about to expire? No wonder you had to eat it all right away. No problem!
Glad, I thought it was a nose sticking out, too. Then I copied and pasted it on my Microsoft word - enlarged it. It was very pretty Glad. And so detailed! The pumpkin looks like the planet earth. The tornado - is obvious - and the car is flying out of the tornado. The carver is very talented with great imagination. I kept a copy of that pumpkin. Sooo unique!
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.
If I remember correctly, there was one teacher with that look, and it wasn't halloween. Mostly though, I loved all my teachers, throughout the years.
Happy Halloween!
For those of us who don't celebrate for faith reasons, you be happy too!
My avatar is a carved pumpkin that my artist brother carves every year for display at his store.
Looks a little like him....lol.
It is what it is".
Just too busy to check if someone else did their jobs correctly or messed up more of the calendar. Decided not to try to do things perfectly, because now I have different priorities. If I am awake, if someone comes to the door, if I hear it, I will give out some candy, and then turn out the lights, lock the doors, go to bed, and not answer the door. Not Sunday night, not Monday night! The calendar is just one more thing that I can no longer trust, but that's okay.
Why is it okay? Because I am the keeper of the chocolate candy!
So Are November and December dates totally messed up or do you just lose a day?
Was wondering, again-when do we turn out the lights, pretend no one's home, and get to eat all the candy? Sunday night, Monday night?
Can you post on this thread so they can all be seen together?
Love, from the Ugly Pumpkin
Just so no one will notice, suppose I could get some expired at the dollar store.
Cwillie, Are you still with us? How was that candy?
She is still trying to figure out how to mail in n out burgers to Canada! ha ha, lol.
That avatar is a monkey, and I'm sticking to it! For a short while, at least.
Has anyone seen the latest Halloween Avatars-they are actually photos of people! Scary, huh? I think people are the scariest. Lol.
Still there, in the box. Hmmmmnn.
Was the candy at the dollar store chocolate?
Was it expired, or about to expire?
No wonder you had to eat it all right away.
No problem!
I am already scared, and aging.
Perfectly worded for getting older, caregiving for others.
I had lots of fun, thanks everyone, again thanks!