Mom has had dementia for atleast 5 years now. I am her caregiver taking her to medical appointments, shopping & entertainment. I hired out of pocket a lady to clean & cook 2 times a week to help because I work full time, and don't live with her. Now she was diagnosed with congestive heart failure. I have taken a leave from work & moved in temporarily. I need to activate her springable power of attorney to get a reverse mortgage on her home in order to hire more care for her. I need to continue working & my siblings also work & wont contribute financially or don't work & won't contribute with time. I realize this will use up the estate but since they won't assist I'm ok with spending their (our)future inheritance on her care. My mother doesn't qualify for med-iCal help. My question is I sent her medical doctor at Kaiser a request for a letter certifying her inability to make decisions & I haven't heard back. Is it difficult to obtain this letter? Unfortunately I changed her primary physician after the congestive heart diagnosis & she hasn't been in to see her,but since the doctor is within Kaiser I figured they could just review the chart. Im thinking of Kaiser as a whole being her primary care physician but maybe I'm wrong.