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:
I am sorry for your loss. I know how acutely you must feel this. My Mom passed almost 3 years ago.
I miss her. Sometimes the memories overwhelm me. Sometimes the guilt gets to me too. I cannot help but wonder in those first months if there was something I could have done, should have done, maybe shouldn’t have done. over time you learn to hold onto the best and let the rest go.
i was the caregiver for both my parents. My father passed almost 4 years ago. Coming here saved my sanity. I still come here a lot. I hope to help others...sort of paying it back,
not a day goes by that I don’t think of Mom. We were always close. I am traveling the US in an RV....this was her dream too, I am always pointing out interesting things to her I see on the road.
I’m very sorry for the loss of your mother. Grieving.com is an option. I’ve not used it myself but our housebound neighbor says he has joined after the loss of his parents and that it has helped him. Again, my condolences. I wish you comfort and peace in the days ahead.
My mom passed away too. I am now an orphan. My dad passed away from cancer in the 1990's, mom will be 2 years this year. It is hard. I stopped at a stop light, and a horrible vision of a hospital stay she had, just appeared for no reason... My Friend calls it PTSD... Well, she has it, and says anything can trigger it... Wonderful..
Chalk me up! I guess I have it... Losing a loved one is usually never great news, right? And there really is NO CERTAIN TIME TO STOP GRIEVING. It slowly dissipates, so you can actually feel okay with it, and to try to start living again. At times it only comes in spurts where you can fill that void for a bit. BUT JUST KNOW THIS;;;; DEATH IS OKAY.!! YOUR LOVED ONES ARE GONE. THEY ARE NOT HERE SUFFERING, BUT THEY CERTAINLY GET OUR ATTENTION IF YOU ARE OPEN...My dad, the atheist, was around a long time. So glad,,, Thank You Dad... Mom never liked to see someone upset... and the way she passed, and the few months prior , I was upset about her declining...,,She knows, and I know. she is bettter where she is now,,, Thank You God!! The tree of lemons, she gave me over 25 years ago,is wonderul. So I like to tell the story of mom lemon gift to me..My friend on the other side of the country says her friends love them send more . That makes me happy. Well, GN
I'm so sorry. Please don't feel like you need to leave this forum. Your experiences in caregiving for your mom will be valuable for others just starting out on this journey. Many forum members have also experienced losses and might be able to support you as you grieve.
I do think a grief support group in your area might be a really big help. The internet is great, but looking into someone's eyes and sharing your emotions is very healing. Check your local hospital or churches to find one.
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 miss her. Sometimes the memories overwhelm me. Sometimes the guilt gets to me too. I cannot help but wonder in those first months if there was something I could have done, should have done, maybe shouldn’t have done.
over time you learn to hold onto the best and let the rest go.
i was the caregiver for both my parents. My father passed almost 4 years ago. Coming here saved my sanity. I still come here a lot. I hope to help others...sort of paying it back,
not a day goes by that I don’t think of Mom. We were always close. I am traveling the US in an RV....this was her dream too, I am always pointing out interesting things to her I see on the road.
I miss her, I always will.
Chalk me up! I guess I have it... Losing a loved one is usually never great news, right? And there really is NO CERTAIN TIME TO STOP GRIEVING. It slowly dissipates, so you can actually feel okay with it, and to try to start living again.
At times it only comes in spurts where you can fill that void for a bit.
BUT JUST KNOW THIS;;;; DEATH IS OKAY.!! YOUR LOVED ONES ARE GONE. THEY ARE NOT HERE SUFFERING, BUT THEY CERTAINLY GET OUR ATTENTION IF YOU ARE OPEN...My dad, the atheist, was around a long time. So glad,,, Thank You Dad...
Mom never liked to see someone upset... and the way she passed, and the few months prior , I was upset about her declining...,,She knows, and I know. she is bettter where she is now,,, Thank You God!!
The tree of lemons, she gave me over 25 years ago,is wonderul. So I like to tell the story of mom lemon gift to me..My friend on the other side of the country says her friends love them send more . That makes me happy.
Well, GN
My Mom passed six years ago. I still become emotional about it. But I know she is in a better place.
I do think a grief support group in your area might be a really big help. The internet is great, but looking into someone's eyes and sharing your emotions is very healing. Check your local hospital or churches to find one.