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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.
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I have dealt with this in the past with my momma living in assisted living for over nine months. My brother was bringing bed bugs into her assisted living. I had to have it cleaned up and then they come and spray. Did this at least four times. Lost count. Then with my medical power of attorney I had to ban all family members to visit momma in her apartment. Brother was still coming into momma's apartment after he was banned by sneaking through the front desk. Assisted living had him on camera and didn't do anything about it. I did not clean it up that time. Let brother and assisted living handle it. I refused to pay for the spray treatment. Assisted living could either get it out of brother or just choke it down. They could still come see her but not in her apartment. The money we spent with all of this was unbelieveable. You need to call a professional exterminator. That is the only way to get rid of them. My sister had them too and we had to get that cleaned up.
In re: Bedbugs anonymous158299 Dec 2014 they havent forced the evacuation of indianapolis yet , or cinncinnatti , or cleveland , england , germany , australia or israel . i still would be apprehensive about getting authorities involved tho , most are rich kids too detached from common folk to even understand the world . diotomecious earth fk ' s bedbugs up but you have to use it properly then leave it alone . if your gonna get ocd and vaccum it back up every day your wasting your time . the human hosts are the targets . isolate every bed and chair where a human spends time with the DE . then its a waiting game -- youre the bait . the bugs are going to walk thru the DE to bite you but in doing so theyre gonna die . pestmall online sells great zip up mattress and box spring cover pretty reasonably . before you zip up the mattress toss DE inside the covers . a spray bottle full of wintergreen alcohol kills bugs and eggs on contact for the occasions when you see one . you can wipe them out but it takes a couple of months . DE is just pulverized sea corral . it isnt poisonous and wont hurt humans . if you see bugs or exoskeletons inside of fluffy chairs or couches , burn the furniture . sitting it to the curb is just the wrong thing to do . dont burn expensive beds , theyre easy to protect and treat . DE is dirt cheap on ebay . bed bugs dont travel far . they only live within about an 8 ft radius of where humans sit and sleep . they aint hangin out in the kitchen is what im sayin .
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.
anonymous158299
Dec 2014
they havent forced the evacuation of indianapolis yet , or cinncinnatti , or cleveland , england ,
germany , australia or israel .
i still would be apprehensive about getting authorities involved tho , most are rich kids too detached from common folk to even understand the world . diotomecious earth fk ' s bedbugs up but you have to use it properly then leave it alone . if your gonna get ocd and vaccum it back up every day your wasting your time . the human hosts are the targets . isolate every bed and chair where a human spends time with the DE . then its a waiting game -- youre the bait . the bugs are going to walk thru the DE to bite you but in doing so theyre gonna die . pestmall online sells great zip up mattress and box spring cover pretty reasonably . before you zip up the mattress toss DE inside the covers . a spray bottle full of wintergreen alcohol kills bugs and eggs on contact for the occasions when you see one . you can wipe them out but it takes a couple of months . DE is just pulverized sea corral . it isnt poisonous and wont hurt humans . if you see bugs or exoskeletons inside of fluffy chairs or couches , burn the furniture . sitting it to the curb is just the wrong thing to do . dont burn expensive beds , theyre easy to protect and treat . DE is dirt cheap on ebay .
bed bugs dont travel far . they only live within about an 8 ft radius of where humans sit and sleep . they aint hangin out in the kitchen is what im sayin .