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:
Hi Kimberly You can find many posts on this forum about POAs. Just use the search. Please take the time to educate yourself on the issues regarding POAs, DPOAs etc and when and how they are activated. It’s an important document but is best done with the advisement of a certified elder attorney so it can be customized.
POAs are state specific. Put your state and then end of life documents in your search engine. Usually you will find a .gov site that lists the important medical forms for the state you need.
I haven’t seen one with a financial POA but other sites will appear. So far the states I’ve looked at all have living wills, dnr forms and medical directives. Read any form you choose very carefully.
id say yes to an elder law attorney also. I know its expensive to pay for that.
but whatever papers you end up with, you are going to be presenting them to all kinds of people and businesses/ doctors/banks etc.
my mom and dad set up theirs long time ago. and they both signed off to me
so every thing was completed by the attorney. and when I have to use my papers, I still get scrutinized. meaning I always feel like people still second guess if im trying to get away with something.
KimberleyD, it is best to have an "Elder Law Attorney" prepare a Power of Attorney. Gosh my POA is 17 pages long.
You can print such forms off the Internet, but note that each State has their own laws regarding POA's. All it takes is one wrong word or one misplaced word to cause havoc with a Power of Attorney that you prepared yourself.
I "third" the suggestion for using an attorney. Preparation of estate planning documents is not a DIY project, for multiple reasons but perhaps the most important being that you want someone who is knowledgeable and up to date on current laws, in your state, and that person needs to be responsible for what he/she prepares.
You don't have the same level of confidence from on-line sites; you don't know the background of whoever drafted the form, how much he/she has kept up to date on changing statutes that might be applicable, or whether or not the person has even passed the State Bar.
KimberleyD, without knowing your particular circumstances, it's impossible for me to advise whether you should hire an attorney to create a health care or financial, limited or comprehensive, springing or immediate, POA or DPOA, or to create one yourself using a template, or, instead to seek guardianship and/or conservatorship. If you have or anticipate complexities due to family disharmony, then contacting an elder-law attorney is most likely advisable. However, I can also say that perfectly good and usable POAs and DPOAs can be created by reasonably careful laypersons using standard forms available on-line, or at libraries, banks, nursing homes, hospitals, etc. When I did an on-line search for "Idaho power of attorney form," the following two trusted websites were among the millions of results that provide Idaho-specific POA templates:
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 can find many posts on this forum about POAs. Just use the search. Please take the time to educate yourself on the issues regarding POAs, DPOAs etc and when and how they are activated.
It’s an important document but is best done with the advisement of a certified elder attorney so it can be customized.
POAs are state specific. Put your state and then end of life documents in your search engine. Usually you will find a .gov site that lists the important medical forms for the state you need.
I haven’t seen one with a financial POA but other sites will appear. So far the states I’ve looked at all have living wills, dnr forms and medical directives.
Read any form you choose very carefully.
but whatever papers you end up with, you are going to be presenting them to all kinds of people and businesses/ doctors/banks etc.
my mom and dad set up theirs long time ago. and they both signed off to me
so every thing was completed by the attorney.
and when I have to use my papers, I still get scrutinized. meaning I always feel like people still second guess if im trying to get away with something.
You can print such forms off the Internet, but note that each State has their own laws regarding POA's. All it takes is one wrong word or one misplaced word to cause havoc with a Power of Attorney that you prepared yourself.
You don't have the same level of confidence from on-line sites; you don't know the background of whoever drafted the form, how much he/she has kept up to date on changing statutes that might be applicable, or whether or not the person has even passed the State Bar.
Don't take a chance; hire a real attorney.
https://isb.idaho.gov/wp-content/uploads/tax_pwratty2012.pdf
https://legislature.idaho.gov/statutesrules/idstat/title15/t15ch12/sect15-12-301/