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.
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I acknowledge and authorize
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I consent to the collection of my consumer health data.*
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I consent to the sharing of my consumer health data with qualified home care agencies.*
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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.
Share a few details and we will match you to trusted home care in your area:
If your POA is activated then it should be fine to sign the application and lease. I did that at my mom's AL, as her POA. I sign my name followed by POA for my mom's name. That's what our atty said to do.
The fact that you are "owners" on the account means that already you don't understand enough about being POA. There is already a lot "going wrong here". As POA you both have the right to consult an elder law attorney. Please do so to learn how to do this legal fiduciary responsibility correctly. As they always say "Ignorance is no excuse before the law" and the work you are doing requires meticulous accounting and record keeping.
I could go on as to how accounts should be titled, who should sign, how should they sign, how many people should function at once as POA (the best and most normal way is that one is POA and another is the "second"; other ways are exceptionally troublesome and open to argument (not a good thing). But in lieu of that, given that there is an overall lack of knowledge here, I need to advise you research how to do POA, speak to bankers about serving as POA on accounts, speak to an attorney and or accountant on how to keep files and records, and if BOTH are equally serving, how to assign duties and make decisions.
Reaching out to an elder forum is well and fine. But you must understand we don't know you, can't see your POA document, don't know how it is made, when or by whom, and in our ignorance could quide you the wrong way.
Please start by scheduling a meeting this week with the bank offices and making an appt. with an elder law attorney. I did this job, and it isn't easy, and you honestly need to know the legalities of it.
Meanwhile do know that when you sign FOR your loved one AS his/her POA you sign THEIR NAME followed by YOUR NAME with the addition of "as attorney in fact" or "as POA".
For checks and JTWOS only one signature is required. If joint on POA it is not necessary but for your peace of mind you can either sign or send your sister an email stating that you are in agreement with placing your mother.
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.
As POA you both have the right to consult an elder law attorney. Please do so to learn how to do this legal fiduciary responsibility correctly. As they always say "Ignorance is no excuse before the law" and the work you are doing requires meticulous accounting and record keeping.
I could go on as to how accounts should be titled, who should sign, how should they sign, how many people should function at once as POA (the best and most normal way is that one is POA and another is the "second"; other ways are exceptionally troublesome and open to argument (not a good thing). But in lieu of that, given that there is an overall lack of knowledge here, I need to advise you research how to do POA, speak to bankers about serving as POA on accounts, speak to an attorney and or accountant on how to keep files and records, and if BOTH are equally serving, how to assign duties and make decisions.
Reaching out to an elder forum is well and fine. But you must understand we don't know you, can't see your POA document, don't know how it is made, when or by whom, and in our ignorance could quide you the wrong way.
Please start by scheduling a meeting this week with the bank offices and making an appt. with an elder law attorney. I did this job, and it isn't easy, and you honestly need to know the legalities of it.
Meanwhile do know that when you sign FOR your loved one AS his/her POA you sign THEIR NAME followed by YOUR NAME with the addition of "as attorney in fact" or "as POA".