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How to Get Referred

​​​You need a referral from your doctor to become a patient at the Memory Clinic. Only referrals using the form below will be accepted.

Memory Clinic Referral Form 

How Long Does a Referral Take?

The doctor who referred you to the Memory Clinic will usually contact you with your appointment time. Call your doctor's office if you do not receive information about your appointment within a few weeks.

Referral Information for Physicians

Your doct​or can get all the referral information they need in our guide for referring physician​s.

More Referral Links