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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 parents currently have POA over one another. Nobody else has POA. Is there a way to arrange in advance for a third party to automatically have POA when either one of them dies? I am in NJ.
Most of the time there is room for an alternate POA on the form. They could put you down for that. You may want to check with the attorney who drew up the papers in the first place. A new POA would likely need to be drawn up for each, listing you as secondary if the first person is unable to take care of things. Carol
As Carol mentioned above, most Power of Attorney documents (POA) provide for a successor agent in the event the primary agent is unavailable or unwilling to serve. Read the document to see if this is indeed the case. A POA may be changed by the Principal at anytime as long as they are mentally competent to do so. If there is no successor agent named, it would be wise to have the documents redrawn. Additionally, if mom and/or dad are in a state of decline it may be wise to go ahead and have the documents redrawn anyway so that another agent other than "each other" is named on a current basis. Otherwise, some institutions (banks, brokerages, insurance companies, etc.) will require either a "Revocation of POA" or some other demonstrable evidence that the primary agent is not able or unwilling to serve. Just complicates things at the very time when "uncomplicated" would be beneficial.
Here is the problem I have with my Mother. Since Dad died four years ago, she drew up a new power of attorney, with my brother as the agent. When she did this I reminded both my brother and Mom to make me the alternate in case of my brother's death (we have no other siblings). Otherwise, it would leave me with no way to help my mother or I would have to seek guardianship. They did not put me on as an alternate and Mom's reply is that she will add me when she needs it???? leaves me in a pickle. I can't explain to her and seem to get it across that this POA thing is to help her. I also am dealing with a very paranoid person for no real reason. I just hope nothing happens to my brother. I have no intention of seeking guardianship of mom. Explain to your parents that no one wants to have to get guardianship of a parent when it is so easy to just add you as an alternate. Good luck, hope they are more compliant than mine Mom.
Your parents will need new POAs. It is recommended that it be notarized but that is not always required. Their bank will most likely have a Notary. Something like these words need to be added to that of the Attorney in Fact, " and in the event that the named Attorney in Fact is unable to act in his/her capacity during such inability to act, I nominate and appoint ___________ to act as my Attorney in Fact with each and every foregoing power previously granted to such named person
I am my dad's power of attorney. as well as my mothers. My dad has alzheimers and has been placed in nursing home. Now they won't even tell my mom anything only me. His insurance wont either. I never intended my mom to be excluded. How can I fix this so she will still be able to make inquiries and decisions as long as she is able and then retain poa for when she isn't able.
As your father's agent you should have no problem authorizing the disclosure of information to third parties, including your mother. Ask the facility and insurance company for an authorization form. You should be fine.
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.
Carol
A POA may be changed by the Principal at anytime as long as they are mentally competent to do so. If there is no successor agent named, it would be wise to have the documents redrawn.
Additionally, if mom and/or dad are in a state of decline it may be wise to go ahead and have the documents redrawn anyway so that another agent other than "each other" is named on a current basis.
Otherwise, some institutions (banks, brokerages, insurance companies, etc.) will require either a "Revocation of POA" or some other demonstrable evidence that the primary agent is not able or unwilling to serve. Just complicates things at the very time when "uncomplicated" would be beneficial.