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Refer Yourself

Referring your patients to First Link® is easy.

How to Refer to First Link®

It’s easy – with consent, complete a referral form for the person with dementia or care partner or both and send to your local Alzheimer Society. Although referring early/at time of diagnosis is optimal for patient benefit, you can refer at any point of disease progression.

First Link® partners include family physicians, geriatric specialists, nurses, social workers, occupational therapists, pharmacists, and social service workers who work in family practice, healthcare facilities and community agency settings.

Click the button below to fill out the referral form.

Referral form



If you have questions about making a referral, want to know more about First Link®, would like to request brochures and materials, or any other questions, please contact:

Christina Stergiou-Dayment
Program Director, First Link®

Click here to find a First Link® Program in your Community