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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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It is good that you are prepared and know what to do in such cases. Many people even do not know, what they should do in extremal situations. And this fact can cause many tragedies. =_=
dejavuagain, oh my gosh, I hadn't thought of that :0
I remember one time at work I was using an IBM selectric typewriter and felt some eyes staring at me... it was a child about 14 years old so had come into the office with her grandmother, and she was wonder what I was using, she never saw a machine like that before.
"At least with a landline, we all grew up knowing how to dial the number."
freqflyer, I'm not so sure the younger generation would know what to do with an old-fashioned land line, especially one with a rotary dial! I can just see them trying to punch in the number through each little hole... LOL!
Having your location available on your cell phone is a good idea and it could be a lifesaver if you are out and about with no other means of communications. However, in addition to what freqflyer and cwillie said, consider what often happens when there is a storm or other interruption in cell service. A corded telephone may be the only functioning device in the entire house. There should be at least one telephone attached to its base by an old-fashioned cord to ensure that you can call 911 or communicate with others in an emergency. There was one time we were not able to use our land line during a power outage. We found out later that the phone company's emergency back-up power became disabled, but that is rare.
If you have enhanced 911 service (I thought everyone did by now) your land-line phone will relay your location to the dispatcher, and many land-line phones are designed with big buttons, one button dialing and other enhancements to accommodate disabilities and are easier for seniors to manipulate. Your cell is great if you are out and about, but even with tracking capabilities routing your 911 call to the correct dispatch is not always guaranteed, as some residents of border cities have discovered.
I refuse to give up my landline. Anyone coming into the house to visit can find a landline phone in just about every room of my home quicker than they could find their own cellphone, if they even have one. Seconds count.
When one dials 911 from a landline the emergency dispatch center sees your address on their screen the second they answer your call. Thus the EMTs are are on their way to your home while you are still on the phone with dispatch.
If I only had my sig other's cellphone to call 911, I would be totally lost on how to use it because it is so different from my cellphone. Some people have their cellphones password locked so what good would that be. At least with a landline, we all grew up knowing how to dial the number.
Hi Connie. It's true. That call to 911 is so important. Recently my mother had a seizure while I was on the other side of our house. A part-time aide recognized what was happening and told my stepfather to call 911. Instead he went running across the house yelling for me, telling me to call 911 (he did the same thing the first time we needed the assistance of 911). He won't break down and get a cell phone. But I do plan to work with him, ever so gently, so that he might be able to dial those crucial digits on his own. Who knows, it could be me who needs the paramedics. I would hope someone would be here to call 911 but I have a feeling it would still fall on my shoulders! Thanks for the cell phone alert!
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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How Your Cell Phone Can Save Your Life
I remember one time at work I was using an IBM selectric typewriter and felt some eyes staring at me... it was a child about 14 years old so had come into the office with her grandmother, and she was wonder what I was using, she never saw a machine like that before.
freqflyer, I'm not so sure the younger generation would know what to do with an old-fashioned land line, especially one with a rotary dial! I can just see them trying to punch in the number through each little hole... LOL!
When one dials 911 from a landline the emergency dispatch center sees your address on their screen the second they answer your call. Thus the EMTs are are on their way to your home while you are still on the phone with dispatch.
If I only had my sig other's cellphone to call 911, I would be totally lost on how to use it because it is so different from my cellphone. Some people have their cellphones password locked so what good would that be. At least with a landline, we all grew up knowing how to dial the number.