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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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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.
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You and your sister are going to have to Come Together on this. Poa of estate and financial and poa of medical decisions. It can get very complicated and a mess real quick. Your mother is going to have to give her consent for you to deal with her doctors, your sister can still override it. Has your mother been declared incompitent? If so, your sister would be the one that would have to give you consent. Thats what I mean about messy. I wish you the best that everyone can come together and make it about the best for your mom and not a power play.
My mom has not been declared incompetent but I would not put it past my sister to push this. I should have never let her go stay with my sister...but I was running on empty and my mom gets very angry when I try to hire help in my home (she doesn't need it but I cannot leave her alone). I had to give myself and my family a break. I have lost 20 pounds and I had to work into the wee hours of the morning to do my job. It is as if I am fighting two battles. I did not think there was a problem with my still handling the medication but my sister called the pharmacy and said she was POA and now I am not able to speak to the pharmacy! My sister holds back on the anxiety medication my mom has been prescribed (said it makes my mother's dementia worse). She is 84 and struggling with the inbetween of knowing and not knowing who she is or what was just said. It is very stressful for her. My mom whispers to me on the phone that she is scared and cannot stop shaking. How do I know she is getting her anxiety medication at all? The more I push, the more control my sister takes. As if life isn't hard enough?
Dear Inthestorm, I agree with jeannegibbs. My brother has POA [executor of M and D estate], but I have medical POA because I am/ was the one taking care of both of them. You do not need an attorney for medical POA-also known as a Living Will. You can get the forms online-some simple, others more complicated. All you need is Moms signature, your signature, and two non-relative signatures. Then give copies to her PCP or other doctors treating her for whatever her illness is, her lawyer, and save the original for yourself.
Dear inthestorm, I have a friend who went thru hell in getting POA and medical POA for her Mom cause her sister was causing all sorts of uncessary trouble for her. Her boyfriend, who is a financial advisor asked the office lawyer about declaring someone incompetant to make decisons for themselves. The lawyer told him that a doctor cannot LEGALLY declare a person incompetant . He can state that she is incompetant in her records, but if there is disagreement among siblings only a judge can legally declare a person incompetant. For that you must hire an attorney and possibly go to court. If Mom is "whispering" on the phone to you about being scared and hands shaking what else is going on? Why does Mom have to hide her conversations? And I think that sis does have the power to take away the medical POA just by having Mom sign a new form for the medial POA. I would advise you to speak to an elder law attorney because if sis is not taking good care of her and withdrawing her meds and diagnosing Mom on her own, that's appalling. Get a lawyer.
Thank you for your help. My brother, whom agrees with me but does not care for mom is medical POA. He does not agree with what "our" sister is doing. Can he step in or will she still have power over him?
Get a new medical POA, 2 non-relative witness signatures, Mom's signature and it should over ride brothers medical POA--and give it to her PCP and all her other doctors. If brother doesn't care for Mom, he shouldn't have any say in any thing. Maybe see an elder law attorney and elderly advocate organization.
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.
I agree with jeannegibbs. My brother has POA [executor of M and D estate], but I have medical POA because I am/ was the one taking care of both of them. You do not need an attorney for medical POA-also known as a Living Will. You can get the forms online-some simple, others more complicated. All you need is Moms signature, your signature, and two non-relative signatures. Then give copies to her PCP or other doctors treating her for whatever her illness is, her lawyer, and save the original for yourself.
I have a friend who went thru hell in getting POA and medical POA for her Mom cause her sister was causing all sorts of uncessary trouble for her. Her boyfriend, who is a financial advisor asked the office lawyer about declaring someone incompetant to make decisons for themselves. The lawyer told him that a doctor cannot LEGALLY declare a person incompetant . He can state that she is incompetant in her records, but if there is disagreement among siblings only a judge can legally declare a person incompetant. For that you must hire an attorney and possibly go to court.
If Mom is "whispering" on the phone to you about being scared and hands shaking what else is going on? Why does Mom have to hide her conversations?
And I think that sis does have the power to take away the medical POA just by having Mom sign a new form for the medial POA. I would advise you to speak to an elder law attorney because if sis is not taking good care of her and withdrawing her meds and diagnosing Mom on her own, that's appalling. Get a lawyer.
My brother, whom agrees with me but does not care for mom is medical POA. He does not agree with what "our" sister is doing. Can he step in or will she still have power over him?