Dementia Connect – Make a Referral

Dementia Connect, from Alzheimer’s Society, is a personalised service that connects anyone affected by dementia to the support they need, when they need it. Professionals can refer people to this service online.

Professionals wishing to refer someone to our Dementia Connect service should complete our simple referral form below.

If you have not been issued with a Referrer ID, please enter your email address in the first field on the form. The person who is been referred should receive a call from a dementia adviser within a week for a full assessment of their needs. Visit our information page for frequently asked questions about the Dementia Connect service.

Please ensure you are using an up-to-date browser, such as Microsoft Edge, Chrome or Safari. If you do not have access to an up-to-date browser, please use this older version of the form, which is temporarily available.

If you are affected by dementia and need support for yourself or someone you know, visit our Dementia Connect page for more information or to get in touch.

Referral Form

As Dementia Connect is new, parts of the service may not be available in your area just yet.

For more information, or if you’re seeking support outside these areas, please call us on 0333 150 3456 or send an email [email protected]