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Direct Connect Rapid Referral
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Direct Connect Rapid Referral is an easy way to link families to an Alzheimer’s Association Greater Missouri Chapter. This free service offers your patients the benefit of confidential support and information necessary to navigate the non-medical challenges inherent with memory loss, Alzheimer’s and other dementias. Simply complete the one-page, HIPAA compliant form and fax it to our office or make an online referral now.

Letter to Healthcare & Service Providers


The online form is secure and HIPAA compliant created through Mediprocity. Healthcare professionals can also download the Mediprocity app to your mobile device to submit referrals remotely. Prescribers (MD, PA, NP) can receive the app for free.

Once received, the Alzheimer's Association will contact the referred individual within two business days and assist with immediate needs. The Association will continue to serve the client with future needs as they arise. If the client gives permission, we will fax an action report back to you.

If you have any questions or would like to follow up, you can contact our office at 800.272.3900 or


Alzheimer's Association

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