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Memory Loss Referral Program
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Receiving a diagnosis of memory loss, dementia or Alzheimer’s disease is an emotional experience for both the patient and their families.

The Alzheimer’s Association can help through our Memory Loss Referral Program, specifically designed to assist medical professionals. If you have a patient with memory loss, dementia or Alzheimer’s disease, simply complete our HIPAA-compliant referral form. A local family services coordinator will contact the patient and their family within two business days to make them aware of resources, education and support services that will help them understand and cope with the disease. 

Why Refer?

       The Memory Loss Referral Program:

       • Will help your patient and their family understand the impact of memory loss and how they can work together to manage its effects.
       • Is a timely and personal follow-up to a diagnosis.
       • Connects your patients and their caregivers to needed resources, education and support services.
       • Provides updates to the referring physician, if requested.

Brochure and e-Form coming soon.

For more information contact Patricia Lacey, Director of Education and Family Services, at or 800.272.3900.


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Alzheimer's Association

Our vision is a world without Alzheimer's
Formed in 1980, the Alzheimer's Association is the world's leading voluntary health organization in Alzheimer's care, support and research.