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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.
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Every state had different paperwork, and even rules. If I move but fail to update my Legitimate DNR info for the current state of residence, will it be respected? What if I am visiting another state?
A few years back the state of NJ changed their simple little form to one that reads like a living will. Each facility Mom entered I took a copy of the new DNR, the original being signed by her PCP. At each facility they had me sign their own DNR with the attending Drs signature.
When my mom went to rehab in the NH she had a DNR. They also spoke to me about POLST as well. It’s been awhile back now. I can’t remember what it was exactly.
Do you know what the difference is between POLST and DNR?
I remember filling out lots of paperwork at the NH with mom.
If anyone else has an opinion about the difference and what they think is best please comment on it.
POLST is DNR plus more and has to be signed by medical personnel. Some states have a POLST registry that can be accessed so first responders know what to do. A DNR is a single event form; POLST more comprehensive.
When it is created by your attorney, make sure that it has the wording, "this document is intended to be valid in any jurisdiction it is presented". That's how all of our end of life documents read including our POAs. This should alleviate any issues.
However, you must have the actual document with you at all times or they will do everything possible to keep you alive. Had this happen to some friends, it meant she had to pull the plug instead of him just dying during the fatal heart attack and the hospital bill to go with the futile care.
After reading this article, I think the answer is: even if you're visiting from out-of-state, you may be out of luck in getting your wishes followed.
Recently, my elderly Aunt with dementia went into a FL rehab facility for a broken hip. Even though she had a DNR written and completed by a FL attorney (where she lived since 1975), the facility made me, her MPoA, create a new one which had her actual doctor's signature on it. This was very surprising to me. I think a general DNR may only matter to an EMT, but now I'm second-guessing this.
Make sure you have a trusted person as a medical POA who has their copy of the paperwork close at hand should they get a call, along with your own notarized copy of it including the contact information for that person.
Look at it this way. CPR may be given but depending on the condition may not be successful.. There have been many times that CPR is started because the patient was not carrying the paper or it was misplaced. In the end, once hospitalized, communication will help appen with family and stopping life support can be done
Mac, not trying to contradict you but, this is not what happens. They must actually see the document to DNR. Once they hook someone up, it's pull the plug only after they see the DNR and only at the request of the authorized person.
My dear friend had a horrible experience with her husband and she was his POA and legal next of kin and was present, she couldn't stop the heroic actions. She could unplug him once her children sent the documents.
Isthisreallyreal, that is what I wrote. The document needs to be shown. Just to add, when I moved my mom from MA to SC, and I needed reciprocity to change over my guardianship, my attorney mentioned that a doctor in MA who does not practice in SC, leaves a questionable DNR that might not be accepted. Once she was in a SC practice, was not a stretch to get a new one. They did have a law in SC that I needed certification from MA probate over my POA. That was kind of nerve racking that I had to send her document through the postal service and back hoping it would reach its destination
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.
When my mom went to rehab in the NH she had a DNR. They also spoke to me about POLST as well. It’s been awhile back now. I can’t remember what it was exactly.
Do you know what the difference is between POLST and DNR?
I remember filling out lots of paperwork at the NH with mom.
If anyone else has an opinion about the difference and what they think is best please comment on it.
Thanks.
POLST is DNR plus more and has to be signed by medical personnel. Some states have a POLST registry that can be accessed so first responders know what to do. A DNR is a single event form; POLST more comprehensive.
However, you must have the actual document with you at all times or they will do everything possible to keep you alive. Had this happen to some friends, it meant she had to pull the plug instead of him just dying during the fatal heart attack and the hospital bill to go with the futile care.
After reading this article, I think the answer is: even if you're visiting from out-of-state, you may be out of luck in getting your wishes followed.
Recently, my elderly Aunt with dementia went into a FL rehab facility for a broken hip. Even though she had a DNR written and completed by a FL attorney (where she lived since 1975), the facility made me, her MPoA, create a new one which had her actual doctor's signature on it. This was very surprising to me. I think a general DNR may only matter to an EMT, but now I'm second-guessing this.
My dear friend had a horrible experience with her husband and she was his POA and legal next of kin and was present, she couldn't stop the heroic actions. She could unplug him once her children sent the documents.
Just to add, when I moved my mom from MA to SC, and I needed reciprocity to change over my guardianship, my attorney mentioned that a doctor in MA who does not practice in SC, leaves a questionable DNR that might not be accepted. Once she was in a SC practice, was not a stretch to get a new one.
They did have a law in SC that I needed certification from MA probate over my POA. That was kind of nerve racking that I had to send her document through the postal service and back hoping it would reach its destination