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.*
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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:
Your Attorney General's website should have these forms available.
You want a General Durable POA and a Durable Health Care POA.
Because my dad was diagnosed with dementia we also did the Durable Mental Health POA, this gave me the ability to get him the help he needed, every against his will. Thankfully, it was not needed.
Any DPOA that has your states Revised Statutes listed on them should be sufficient.
You should have a HIPAA release that specifically states that it never expires and is intended to be honored in any jurisdiction presented. The ones we sign in the doctors office or hospital expire in 12 months, you really want one that never expires to ensure access.
If you have lots of assets, you probably want to see an attorney.
If I was a person who needed to except someones POA, I would not except one downloaded from the internet. I would want to make sure that the Principle was seen by a lawyer who could make the determination that they were of sound mind and not being coerced.
I agree with all who suggest this should be done by attorney who can then explain all to you including YOUR duties, which are legal and many (esp good record keeping of each penny in and each out of the person's accounts). Also, you will get a GOOD POA that will hold up which a form pulled off of the online will NOT. And if you have a POA that won't work it is too late when it is needed and the senior, due to lack of competency cannot fix things (POA can only be given by a fully competent senior who understands what he or she is doing). Many banks will put you through the wringer with a POA. You need one that an attorney makes certain is ironclad. If you do the POA on your own you would have to have two witnesses and or a notary public. But this is not as good as an attorney. Put out the money (the senior's assets pay for this) and do it right.
I agree with freqflyer have it done by an attorney. Mine is about 19 pages long and covers everything. I had my medical POA done by an attorney as well.
MrsHoover, I am not fond of the do-it-yourself Power of Attorney. All it takes is one missing word or one misplaced word to really mess up that document.
I had an Elder Law Attorney draw up my POA, it was 16 pages long. If your on-line POA is just a couple of pages, I would wonder what is missing? Plus the Attorney will send me e-mail any time the State made any changes that would effect my POA,
That's certainly true but in my direct experience a DIY one signed and notarized will get the bulk of the job done as long as nobody is arguing with it. Definitely a big improvement over nothing if you can't afford an attorney.
Make sure you read the document. Also make sure you have a backup POA…good if it is someone younger. Agents often predecease the principal. Also know that there are financial institutions that will not accept some POAs and some government offices won’t either. Like SS and Veterans. Don’t wait until you need to use it before checking with banks etc. Having a simple POA is better than none but if you are going through the motions try to do it right. And remember that some are effective immediately and some are not. each persons situation is different but just having a POA is not always enough to help the agent with their problem.
Contact your local area's Agency on Aging and ask if they know of a resource. PoAs must be written for your state of residence. They usually required signing in front of a notary and I recommend getting 2 copies and making 2 originals (1 for the assigner and an original copy for each PoA).
I would create a Living Will (Advance Healthcare Directive) especially if you have any preexisting health issues like cancer, diabetes, etc. Your doctor (not a lawyer) is the appropriate person to give guidance for future medical intervention).
Medical Representative (a HIPAA form request at your doctor's office)
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.
You want a General Durable POA and a Durable Health Care POA.
Because my dad was diagnosed with dementia we also did the Durable Mental Health POA, this gave me the ability to get him the help he needed, every against his will. Thankfully, it was not needed.
Any DPOA that has your states Revised Statutes listed on them should be sufficient.
You should have a HIPAA release that specifically states that it never expires and is intended to be honored in any jurisdiction presented. The ones we sign in the doctors office or hospital expire in 12 months, you really want one that never expires to ensure access.
If you have lots of assets, you probably want to see an attorney.
There is Legal Aide that will charge by scale.
Many banks will put you through the wringer with a POA. You need one that an attorney makes certain is ironclad.
If you do the POA on your own you would have to have two witnesses and or a notary public. But this is not as good as an attorney. Put out the money (the senior's assets pay for this) and do it right.
I had an Elder Law Attorney draw up my POA, it was 16 pages long. If your on-line POA is just a couple of pages, I would wonder what is missing? Plus the Attorney will send me e-mail any time the State made any changes that would effect my POA,
Having a simple POA is better than none but if you are going through the motions try to do it right. And remember that some are effective immediately and some are not. each persons situation is different but just having a POA is not always enough to help the agent with their problem.
Punch in your state for each form that you need printed out.
I would create a Living Will (Advance Healthcare Directive) especially if you have any preexisting health issues like cancer, diabetes, etc. Your doctor (not a lawyer) is the appropriate person to give guidance for future medical intervention).
Medical Representative (a HIPAA form request at your doctor's office)
Last Will & Testament
That's what I have, in a Trust.