Referral Form

A referral to the Alzheimer Society of Kenora/Rainy River Districts is important!

A referral to the First Link program will ensure your clients with dementia and primary caregiver(s) will be connected to receive SUPPORT & EDUCATION after a dementia diagnosis. 

One referral means a Person Living Well with Dementia and their caregiver(s) have timely access to information, learning opportunities and support throughout their dementia journey. 

Who could I refer?

  • Your clients with a dementia diagnosis 
  • Care partners/Caregivers 
  • Clients with dementia at any stage of disease (early, middle or late) 
  • Family members 
  • Self - walk in our office or by calling 1800-692-0245, 807-468-1516 

What the Alzheimer Society provides:

  • Responsive behavior approaches, coping methods 
  • Educational sessions for people diagnosed with dementia, their family and friends 
  • Early, middle & late stage dementia progression education 
  • Understanding of memory loss, changes to the brain & the effect on behaviors 
  • Communication strategies 
  • System navigation support 
  • Community Resource linkages 
  • Advance Care Planning 
  • Support Groups 
  • Music Project for persons living with dementia 
  • Wandering support and devices (Finding Your Way®) 
  • Monitor with proactive follow-up

After the referral is received the Client Services Coordinator will schedule an intake with the caregiver. Once an intake is completed you will receive a referral acknowledgement letter outlining programs and services the client is receiving from the Society and any outreach supports. Your local Alzheimer Society is key to reducing caregiver burden, enhancing care partner capacity and competency, further decreasing the incidence of crisis situations. 

Due to confidentiality a referral must be received by fax only at: 

Download Referral Form button

Last Updated: 03/07/2019