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:
You can call or go to the fueral home and make the arrangements at any time. That is what I did for myself so my kids won't have to deal with it when I die.
Besides going to he funeral home and making advanced plans, why not just write down what you want by way of music, message etc. and keep in somewhere that your kids know about?
We had to spend my mom's money because of medicaid. We prepaid her funeral. The funeral parlor was great. They sat with us and we planned what my mom would want when she passes on. They have a program (forget what it is called) but if you prepay the funeral the price can never go up.
You can speak to your Minister or the local funeral home my Mom is paying on time to have it all taken care. She wants to be cremated and she has my Dad ashes in her room and they want the ashes mixed and then spread where we all choose to have a final goodbye.
Shatter1, the EPA will tell you they are hazardous waste and you need a permit to "dump" them. However they are very busy with old gold mines, lead pipes and sinking bayous at the moment, so they probably won't notice what you do with that tin of ashes.
I have always thought that when someone says I will dance on your grave that when I die my will should be able to insist they do. If that was the case I would change my mind from cremation to burial at sea - preferably in shark infested waters!
In all seriousness I have already planned my funeral and what music I want and what I want said. I have indicated that I don't want a eulogy but to send a message from beyond as it were, Plus no-one is to wear dark colours this is to be a joyous occasion not one filled with sadness. Even if I died tomorrow I would have lived an eventful life and have no regrets so I don't want anyone being miserable that I have gone.
Shatter1: There are rules of where one can scatter ashes. However, we were getting depressed keeping my dog's ashes, and I did not intend to keep them or collect them in a box as a memory. Federal or State land is a no no. One day, we were escorted to a place, just beyond where we were helping to do trail repairs, and advised to scatter what we had carried out there on the advice of our boss. Ok then. Discreetly.
When I realized my COPD was serious, I contacted one of my good friends at the funeral home near us. An entire booklet was available, and I have done everything but pick out my clothes. The music is planned, the minister is selected, and I am at peace about making one step of the journey a little easier for everyone.
This is such a wonderfully kind thing to do. When someone passes the stress of the loss make it hard to focus and there are so many decisions to make. A prearranged funeral or cremation all paid for in advance then requires just one phone call to the funeral home and all is taken care of. The funeral home that prepared my mothers arrangements gave us a booklet we could fill out for any extras like music etc but upon her death we just call the home they arrange everything from pick up to notifying the state, death certificates everything. It is such a relief to know this is in place. We did this for my aunt who passed some years ago and my mother was her next of kin, she was at ease knowing everything was in place and that my aunt was the one who picked everything out herself so it was her wishes not ours that were followed.
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.
They have a program (forget what it is called) but if you prepay the funeral the price can never go up.
One day, we were escorted to a place, just beyond where we were helping to do trail repairs, and advised to scatter what we had carried out there on the advice of our boss. Ok then. Discreetly.
There be.
Chocolate?