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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.
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My father lives with her, he is 92. They live in their own home. He can't get her to go back to bed. He is afraid she is going to go out of the house, so he stays up with her.
At first it started with my mom calling me at 3am saying "I thought you were coming over today". I'd say "I am - at noon. It's 3:00 in the morning!" Mom would get embarrassed, apologize and hang up. Then it progressed to mom calling in the middle of the night asking "is it 3:00 in the morning or afternoon?" She would be confused but no longer embarrassed or apologetic. Why she couldn't look out a window and see that it was still dark outside completely threw me.
It was at this point - having missed a dozen other red flags that I began to understand that there was something serious going on with my mom beyond typical aging and forgetfulness. Usually I'm a bit quicker than this. But I still didn't really understand what was happening- just showed mom on her digital clock the little lit dot that indicated am or pm - also showed her on her computer the little time stamp that did the same. It didn't help. Mom continued to call in the middle of the night.
Now the conversation was pretty brief. Mom - "what time is it?" Me - "it's 3am, mom". Hang up. Hubby - "FU@K!" Me - "yeah".
To switch things up occasionally I'd get "the bonus call". Which was mom calling around 5am, boarder line hysterical- she would be up and dressed - ready to go to her 11am doctor appointment. She'd be upset that I wasn't there already to take her to her doctor appointment that was three miles away. These calls always transitioned to a rant over not having her car anymore and anything else that was upsetting her at the moment. There was no getting her off the phone so I'd interrupt and say "mom, your appointment isn't for six hours. I'm going back to sleep and I'll see you at 10:00. That's five hours from now so I suggest you try to get some sleep yourself." Hang up. Hubby - "FU@K!" Me - "yeah".
Eventually, this phase passed - not soon enough.
Get your mother into a neurologist or a geriatric specialist.
Quilting, oh dear, so tough when one's inner clock is registering wrong. Have Mom visit her primary doctor to see if there is something he/she can give her to help her sleep through the night. Your Dad must be very exhausted.
I see your parents still live in their own home, my folks did the same thing at the same age, and it scared me silly... I couldn't sleep at night !! Mom refused to move or have caregivers come in... Dad was more receptive about it, but Mom ruled the roost. They needed help but kept saying "we can manage". I think not.
Usually we need to wait for a medical emergency or two or three before one's parents finally decide they can't do this on their own.
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.
It was at this point - having missed a dozen other red flags that I began to understand that there was something serious going on with my mom beyond typical aging and forgetfulness. Usually I'm a bit quicker than this. But I still didn't really understand what was happening- just showed mom on her digital clock the little lit dot that indicated am or pm - also showed her on her computer the little time stamp that did the same. It didn't help. Mom continued to call in the middle of the night.
Now the conversation was pretty brief. Mom - "what time is it?" Me - "it's 3am, mom". Hang up. Hubby - "FU@K!" Me - "yeah".
To switch things up occasionally I'd get "the bonus call". Which was mom calling around 5am, boarder line hysterical- she would be up and dressed - ready to go to her 11am doctor appointment. She'd be upset that I wasn't there already to take her to her doctor appointment that was three miles away. These calls always transitioned to a rant over not having her car anymore and anything else that was upsetting her at the moment. There was no getting her off the phone so I'd interrupt and say "mom, your appointment isn't for six hours. I'm going back to sleep and I'll see you at 10:00. That's five hours from now so I suggest you try to get some sleep yourself." Hang up. Hubby - "FU@K!" Me - "yeah".
Eventually, this phase passed - not soon enough.
Get your mother into a neurologist or a geriatric specialist.
I see your parents still live in their own home, my folks did the same thing at the same age, and it scared me silly... I couldn't sleep at night !! Mom refused to move or have caregivers come in... Dad was more receptive about it, but Mom ruled the roost. They needed help but kept saying "we can manage". I think not.
Usually we need to wait for a medical emergency or two or three before one's parents finally decide they can't do this on their own.