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.*
*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 have a roommate who moved in with me three years ago. She needed a place to live, as her friend left her. I am now her caregiver, but need to leave soon. How do I find her a place to live?
If she has family, contact them. If no family, then call Adult Family Services. Tell them she is a roommate and because you are leaving, you can no longer help her. They should evaluate her and what her needs are. If she has family, give APS the info on how they can be contacted. Please come back and tell us how it works out. We learn from others.
As suggested, first contact any family member you can find to loop them in to this situation. Be aware that they may not be interested in managing her care or taking responsibility for her -- and they have every right to this choice.
If you can't find any family members willing to manage her situation then you need to call social services and get her on their radar and explain very clearly that you never intended to become her caregiver and you are not now her legal caregiver and you don't wish to continue as such. Tell them she needs a court-assigned legal guardian.
If she needs a caregiver then she can't live anywhere on her own, so she needs a facility. Social Services for your county can get this going but it may not happen right away.
Does your roommate have any family members you can contact for help with her next steps? Who’s in charge of her finances in the event she cannot maker her own decisions? Is this your home, if so why would you leave, what not ask her to find a new place? Maybe you mean leaving the responsibility of being her caregiver. If so, that’s fine. Fill us in a bit so we know how to better advise
Please tell us about where you live – you rent, or you own, or what? And the terms on which your ‘room mate’ has moved in – share rental, share living costs, pay you for care, or what?
Do you provide care, and if so what? How capable is your 'room mate' without your help and care - financial or physical? Do you have any paperwork setting this out? POA, ability to deal with bank account, etc?
This information is vital to checking out your options. If you try any state services, they will want the same answers, so start by getting the facts straight for us!
Please tell us about where you live – you rent, or you own, or what? And the terms on which your ‘room mate’ has moved in – share rental, share living costs, pay you for care, or what?
Do you provide care, and is so what? How capable is your 'room mate' without your care - financial or physical? Do you have any paperwork setting this out? POA, ability to deal with bank account, etc?
This information is vital to checking out your options. If you try any state services, they will want the same answers, so start by getting the facts straight for us!
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.
If you can't find any family members willing to manage her situation then you need to call social services and get her on their radar and explain very clearly that you never intended to become her caregiver and you are not now her legal caregiver and you don't wish to continue as such. Tell them she needs a court-assigned legal guardian.
If she needs a caregiver then she can't live anywhere on her own, so she needs a facility. Social Services for your county can get this going but it may not happen right away.
Do you provide care, and if so what? How capable is your 'room mate' without your help and care - financial or physical? Do you have any paperwork setting this out? POA, ability to deal with bank account, etc?
This information is vital to checking out your options. If you try any state services, they will want the same answers, so start by getting the facts straight for us!
Do you provide care, and is so what? How capable is your 'room mate' without your care - financial or physical? Do you have any paperwork setting this out? POA, ability to deal with bank account, etc?
This information is vital to checking out your options. If you try any state services, they will want the same answers, so start by getting the facts straight for us!