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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.
✔
I acknowledge and authorize
✔
I consent to the collection of my consumer health data.*
✔
I consent to the sharing of my consumer health data with qualified home care agencies.*
*If I am consenting on behalf of someone else, I have the proper authorization to do so. By clicking Get My Results, you agree to our Privacy Policy. You also consent to receive calls and texts, which may be autodialed, from us and our customer communities. Your consent is not a condition to using our service. Please visit our Terms of Use. for information about our privacy practices.
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:
The applicant must prove identity, lawful presence, and Texas residency.
Typically, you need:
A. Proof of identity (one primary, or two secondary documents)
U.S. passport (even expired within last 2 years) Certified U.S. birth certificate U.S. citizenship certificate Permanent Resident card
If the person no longer has these, DPS allows alternate “secondary” documents such as:
Social Security card Medicare card Voter registration School or medical records
B. Proof of Social Security number
Social Security card, W-2, or SSA-1099 form
C. Proof of Texas residency (two documents) Examples:
Utility bill, bank statement, insurance mail, or letter from a licensed nursing facility, care home, or family member stating they live there.
Tip: If the person with Alzheimer’s lives with you, you can write a “residency affidavit” (DPS form) and attach your own proof of address.
3. If the person can’t appear in person
Normally, DPS requires the applicant to appear in person at a Driver License Office for photo and signature.
However, there are exceptions for certain medical or cognitive conditions:
Option A: Bring them in, with help.
You (as caregiver, family member, or power of attorney) can accompany the person and help communicate or assist with paperwork. DPS staff are used to working with seniors and those with dementia.
Option B: Apply by mail for a renewal or replacement.
If they’ve had a Texas ID or license before, you can sometimes renew or replace by mail if travel is impossible.
Call DPS at 1-512-424-2600 to ask for guidance for “homebound or medically fragile applicants.”
Option C: Guardianship or Power of Attorney
If you have Power of Attorney or are a court-appointed guardian, bring those legal papers.
That allows you to sign forms on their behalf.
4. Fees and validity
Regular Texas ID (age 59 or under): $16 Senior (age 60 or older): FREE Valid for up to 6 years.
Call the Customer Service line: 512-424-2600 (M–F business hours).
If you tell them the applicant has Alzheimer’s and mobility issues, they’ll explain options like scheduling a low-stress appointment or arranging for a home-bound accommodation.
🧡 Practical caregiver tips
Bring medical documentation (a note from the doctor confirming cognitive impairment) — it helps explain behavior or communication challenges. Bring two recent passport-style photos just in case they have trouble sitting for a camera.
Make an appointment online to minimize wait time and confusion. If possible, go early morning (off-peak hours).
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.
Typically, you need:
A. Proof of identity (one primary, or two secondary documents)
U.S. passport (even expired within last 2 years)
Certified U.S. birth certificate
U.S. citizenship certificate
Permanent Resident card
If the person no longer has these, DPS allows alternate “secondary” documents such as:
Social Security card
Medicare card
Voter registration
School or medical records
B. Proof of Social Security number
Social Security card, W-2, or SSA-1099 form
C. Proof of Texas residency (two documents)
Examples:
Utility bill, bank statement, insurance mail, or letter from a licensed nursing facility, care home, or family member stating they live there.
Tip: If the person with Alzheimer’s lives with you, you can write a “residency affidavit” (DPS form) and attach your own proof of address.
3. If the person can’t appear in person
Normally, DPS requires the applicant to appear in person at a Driver License Office for photo and signature.
However, there are exceptions for certain medical or cognitive conditions:
Option A: Bring them in, with help.
You (as caregiver, family member, or power of attorney) can accompany the person and help communicate or assist with paperwork. DPS staff are used to working with seniors and those with dementia.
Option B: Apply by mail for a renewal or replacement.
If they’ve had a Texas ID or license before, you can sometimes renew or replace by mail if travel is impossible.
Call DPS at 1-512-424-2600 to ask for guidance for “homebound or medically fragile applicants.”
Option C: Guardianship or Power of Attorney
If you have Power of Attorney or are a court-appointed guardian, bring those legal papers.
That allows you to sign forms on their behalf.
4. Fees and validity
Regular Texas ID (age 59 or under): $16
Senior (age 60 or older): FREE
Valid for up to 6 years.
5. Where to go or call
Find the nearest Texas DPS Driver License Office:
👉 https://www.dps.texas.gov/section/driver-license/how-apply-texas-id-card
Call the Customer Service line: 512-424-2600 (M–F business hours).
If you tell them the applicant has Alzheimer’s and mobility issues, they’ll explain options like scheduling a low-stress appointment or arranging for a home-bound accommodation.
🧡 Practical caregiver tips
Bring medical documentation (a note from the doctor confirming cognitive impairment) — it helps explain behavior or communication challenges.
Bring two recent passport-style photos just in case they have trouble sitting for a camera.
Make an appointment online to minimize wait time and confusion.
If possible, go early morning (off-peak hours).
Source: ChatGPT5