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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.
Share a few details and we will match you to trusted home care in your area:
To ALL concerned...the elder/grandmother in Puerto Rico was finally convinced by her family to evacuate/move north after a giant crack formed in her home due to the beefy aftershocks. Peace to all, Fí
THANK YOU ONE & ALL!!!! She is in contact with surrounding family who is fervently trying to get the grandmother on a plane to the states/mainland...she is physically challenged w/obesity & high blood pressure. No power yet. She resisted creating her emergency kit [ID's, important papers, passport, etc...], feeling it was 'bad luck'-unsure if another family member has done so. With what I am reading, water seems like the main concern re: supplies. I have also been reading/hearing that the 'big one' is due re: earthquakes. And yes, they are ALL still reeling from the hurricane & my co-worker is experiencing classic PTSD. I have been assisting her to the best of my ability-strongly suggesting drinking an ABUNDANCE of water & a bit of apple juice re: blood sugar/shock/trauma she was experiencing yesterday, and a soak in Epsom salts...she did not sleep last night. Another co-worker [we are Montessori guides] so KINDLY accompanied her to dinner yesterday to ensure she was capable of driving home safely-we are embracing her w/Love & support! Again, thank you ALL for taking the time & making the effort to respond—I feel certain my co-worker will genuinely appreciate your support as well & will serve her beautifully! Namasté! Fí
Fiffi, was her home destroyed? If so, does she have any idea how challenging life will become? Puerto Rico never really recovered from the hurricane and still faces challenges, which will be exacerbated by a quake. Does she understand this?
For those not yet aware, Puerto Rico has been experiencing strong seismic activity since December, and today's quake was 6.4. More EQ's are expected, and people are sheltering in tents away from buildings.
Your alert female elder, age 78, could contact FEMA or the Red Cross when and if she decides to evacuate. Moving to another part of the island may not be safe.
You have been in contact then? If you are unable to reach her, within a few days, you can contact the Red Cross if you have not heard.
So sorry she is in danger in this devastated area.
When she contacts you, calm, strong support and asking what help she needs will go better than panic, ordering her to evacuate without respecting her to make good decisions available to her at the time will alienate her.
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.
Peace to all,
Fí
She is in contact with surrounding family who is fervently trying to get the grandmother on a plane to the states/mainland...she is physically challenged w/obesity & high blood pressure.
No power yet. She resisted creating her emergency kit [ID's, important papers, passport, etc...], feeling it was 'bad luck'-unsure if another family member has done so. With what I am reading, water seems like the main concern re: supplies. I have also been reading/hearing that the 'big one' is due re: earthquakes. And yes, they are ALL still reeling from the hurricane & my co-worker is experiencing classic PTSD. I have been assisting her to the best of my ability-strongly suggesting drinking an ABUNDANCE of water & a bit of apple juice re: blood sugar/shock/trauma she was experiencing yesterday, and a soak in Epsom salts...she did not sleep last night. Another co-worker [we are Montessori guides] so KINDLY accompanied her to dinner yesterday to ensure she was capable of driving home safely-we are embracing her w/Love & support!
Again, thank you ALL for taking the time & making the effort to respond—I feel certain my co-worker will genuinely appreciate your support as well & will serve her beautifully!
Namasté!
Fí
Does she have power? A home? Family in the area?
Your alert female elder, age 78, could contact FEMA or the Red Cross when and if she decides to evacuate. Moving to another part of the island may not be safe.
You have been in contact then? If you are unable to reach her, within a few days, you can contact the Red Cross if you have not heard.
So sorry she is in danger in this devastated area.
When she contacts you, calm, strong support and asking what help she needs will go better than panic, ordering her to evacuate without respecting her to make good decisions available to her at the time will alienate her.