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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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BunniD, I live in a senior apartment complex, and this weekend I will be showing, 'Still Alice'. People keep asking if I really want to show it. Yes, because of all I have learnt on AgingCare and Rick's Blog, ect. We need to be more aware. We need to be more prepared. We need to talk about this issue before it's too late to talk and plan. I have ordered Rick's book and am anxiously awaiting it's arrival. OK, my son ordered for me, and, never asked any questions. Am I in denial or him. Since I am in the beginning stages, I want to know more.
I see what is happening with you. I am not Rick Phelps, but I would like to thank him for his articles. I really enjoy the couple that I have read, but I would like to talk with you if you don't mind. I have a problem too. Right now they are calling it forgetfulness, possibly dementia. I wondered why there are wires on your floor?
I get what you mean about computers. I have a degree and if I am super careful, I can remember how it works, but I watched my Dad forget how to use his, before his AlZ kicked into a place where he couldn't get out of a locked bathroom, and he was a plumber. Now my Mom, who is becoming confused at times, but I think it is nothing like Dad's has troubles with her computer, but I think it is the caretakers messing with her settings to make her feel like she is confused so they can put her in a place where they lo-jack ya and you never see the light of day again. A place like where they put my Dad until he died 14 months later. I'm 65. Like Dad, I have tripped over wires laid out on the floor 3 times and have had 33 shoulder surgeries because I can't get it that I can't manuver past wires on the floor. Also My Dad and I loved Music. As he grew weaker, he forget about the music. I love music and have worked shooting it on stage for quite a while. It was my passion and now I can't figure out how to set up face to face time online with my mom so I can see her and talk to her. So yes, She doesn't have Alzhiemers. She still drives a car. Daddy on the other hand couldn't drive his self to the store and back in a scooter,, about when they put him away. I hope your disease is progressing slowly. thanks for your article and blog.
I enjoyed reading a couple of chapters of your book. I guess I haven't realized as much as I thought I had. I appreciate what you are saying, and Thank you!
Well Rick, you are right. Although I have seen the neurologist, and waiting on some tests... This blog's title is correct. Yesterday I said to my sister, these biscuits are good until April 26. She looked at me and stated that it was May. I replied, and so these are still good.
You know, when she told that the date was almost a month ago, I was stunned. It wasn't until this afternoon that I came back to your post, and realized that had been an "aha" moment. Thanks for keeping us on our toes.
Rick Phelps, you are a real hero. I am reading your work, and I am humbled, inspired and impressed. You are doing a real service to your fellow human beings. Your outrage at there not being serious funding and help for caregivers, is righteous. Bless you.
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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Dementia: When Something is Wrong, You’ll Know It
I have a problem too. Right now they are calling it forgetfulness, possibly dementia. I wondered why there are wires on your floor?
You know, when she told that the date was almost a month ago, I was stunned. It wasn't until this afternoon that I came back to your post, and realized that had been an "aha" moment. Thanks for keeping us on our toes.