The Longest Day 2018
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Physician Referral

Direct Connect Rapid Referral is a secure form that can be faxed or scanned to our office and will link individuals and families to the Alzheimer’s Association for education, caregiver support and customized action plans.
This free service offers your patients the benefit of confidential support and information necessary to successfully navigate the challenges inherent with memory loss, Alzheimer’s disease and other dementias.


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.

For more information contact our 24/7 Helpline at 1.800.272.3900 or


Alzheimer's Association

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