Vote Now
Home | News | Events | Press | Contact  

About UseNewsletterMessage BoardsAction CenterAdvocateWalk to End Alzheimer’sShopDonate

Find your chapter:

search by state

In My Community
Fax Referral
Text Size controlsNormal font sizeMedium font sizeLarge font size

The Memory Loss Fax Referral Program is designed to assist the health care provider with patients and their families diagnosed with memory loss, Alzheimer’s disease and other dementias. Caregiver education and support has been demonstrated in clinical trials to improve patient function and to delay the need for nursing home/long term care placement (references available upon request).

This program can save you time and money. The program allows the provider’s staff to complete a simple one-page, HIPAA compliant form and fax it to the Alzheimer's Association for referral services.

For more details, click here to view our letter with our full invitation for your participation.

Our Fax Referral Form is here for you to print and use.

If you have any questions, please call Annie Marrs at 434-973-6122 or email her at annie.marrs@alz.org


 

Join or start a team today.

Find a Walk

Washington Alaska Texas Washington Oregon California Idaho Nevada Arizona Utah Montana Wyoming Colorado New Mexico Oklahoma Kansas Nebraska South Dakota North Dakota Minnesota Iowa Missouri Arkansas Louisiana Mississippi Illinois Wisconsin Michigan Indiana Kentucky Tennessee Alabama Florida Georgia South Carolina North Carolina Virginia West Virginia Ohio Maine Pennsylvania New York Vermont New Hampshire Massachusetts Rhode Island Connecticut New Jersey onClick= Delaware Maryland Hawaii Vermont New Hampshire Massachusetts Rhode Island Connecticut New Jersey Delaware Maryland Washington D.C.
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.