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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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Last month my Dad moved into Independent Living and what a job it was trying to change his address on everything. I went on-line with the USPS to change Dad's address from my parent's house over to my house.... then I went in person to the Post Office as my parents also had a post office box and I needed to turn in the key, and I had that mail forwarded over to my house.
It takes anywhere from 5 to 10 days for a letter to go from the old address to the new address. Yikes, I am getting a large pile of mail every day.
I went on-line to change Dad's social security to the address where he is now living, and to change Dad's direct deposit to his new bank. I also set up a lot of other new on-line accounts so I could keep track what is going on. Good heavens, it's like having a full-time job trying to keep track of everything. I bought a lot of 3-ring binders.
I had to take over all the finances since my Mom [98] recently passes as that was her job, Dad was clueless about all this stuff, and would think a bill was an advertisement and throw it out.... [sigh]. There is still my parent's house to deal with, transfer of all the utilities billing as the electric/gas/water need to be on so I can sort through all the stuff in there.
Lesson learned, don't close the old direct deposit bank account until a month afterwards. I didn't realize how many direct payments my parents were using for utilities [statements were thrown out by Dad], thus late charges were showing up because the old bank accounts were closed. Oops.
You go to the post office in the zip code where she is getting mail now, fill out a little 'temporary change' forwarding address which lasts about 3 months so everything starts coming addressed to her c/o your name. They won't keep doing this indefinitely, so once you see what is coming you start the longer tedious process of notifying every entity of a change of address. Some things need copy of POA with the request for change of address, or else a letter you have her sign with her own name. Accounts which you already have online access to are easiest to do the change of address on, so if you have done that before on utilities, phone bills, insurance, etc it does help when there is an address change. Loose ends can turn up 6 months later, after important mail starts getting returned to the sender as 'undeliverable'....
I will say that once my mom went into a NH, the amount of mail she received exploded. CMS sends out their updates every 2 weeks or so on items billed & paid for & then all the notices of changes.....a forest of mail annually. Ditto for secondary insurance like BCBS. If she is on Medicaid, the Stare programs do the same. Then all the letters, statements, vendor reports from the NH. Plus all the regular mail.
You may want to consider getting a private mail box that is moms new address. Often UPS shipping centers rent these. But what may be better is to get a box at a private shipping & mail center as they will call you if something that looks important comes in...or the box is full. Often these are near colleges & universities. You rent it in your name with moms name as a secondary on the box. You may find that It works well to have everything mom go into 1 address & totally apart from your mail. You go once every X # of days, get her mail & deal with it. Just could make things a bit more manageable.
The USPS has a change of address form online, or local post office, you can pick up a change of address packet. Also, you can call (assuming you are HCP or POA) whatever companies , (in my case, it was homeowners insurance, gas, electric, utilities, cable, phone, credit cards, banks, etc.) And let them know verbally of the address change. Good luck and it is a bit of work.
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.
It takes anywhere from 5 to 10 days for a letter to go from the old address to the new address. Yikes, I am getting a large pile of mail every day.
I went on-line to change Dad's social security to the address where he is now living, and to change Dad's direct deposit to his new bank. I also set up a lot of other new on-line accounts so I could keep track what is going on. Good heavens, it's like having a full-time job trying to keep track of everything. I bought a lot of 3-ring binders.
I had to take over all the finances since my Mom [98] recently passes as that was her job, Dad was clueless about all this stuff, and would think a bill was an advertisement and throw it out.... [sigh]. There is still my parent's house to deal with, transfer of all the utilities billing as the electric/gas/water need to be on so I can sort through all the stuff in there.
Lesson learned, don't close the old direct deposit bank account until a month afterwards. I didn't realize how many direct payments my parents were using for utilities [statements were thrown out by Dad], thus late charges were showing up because the old bank accounts were closed. Oops.
You may want to consider getting a private mail box that is moms new address. Often UPS shipping centers rent these. But what may be better is to get a box at a private shipping & mail center as they will call you if something that looks important comes in...or the box is full. Often these are near colleges & universities. You rent it in your name with moms name as a secondary on the box. You may find that It works well to have everything mom go into 1 address & totally apart from your mail. You go once every X # of days, get her mail & deal with it. Just could make things a bit more manageable.