MAKING A REFERRAL TO First Link - Health Services for North East

MAKING A REFERRAL TO First Link®
“Working together to link individuals and families affected by Alzheimer’s disease or a related
dementia to a community of learning, services and support.”
Who to refer to First Link®?
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Individuals with a diagnosis or Alzheimer’s disease or a related dementia
Caregivers
Family members
Concerns with or diagnosis of MCI (Mild Cognitive Impairment) or other memory
problems
When to refer?
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As soon as there is a concern or when a diagnosis is made
At any other time in the dementia journey
Why refer?
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It is often difficult for individuals and families to ask for help
Information and support will help patients and families to cope with more confidence
Planning for the future is critical (re: Power of Attorneys)
There are community and health care services that families need to know about
With knowledge and skills people are able to maintain quality of life while living with
dementia
Who can make a referral?
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Physicians
Health Care professionals
Home Care
Hospital/Community organizations
Self-referral
How to refer?
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Ask for consent from the individual or family member to forward their information to the
Alzheimer Society
Complete the referral form and fax to 705-495-0329
WHAT HAPPENS WHEN First
Link® RECEIVES THE REFERRAL?
Individuals or family members will receive:
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A phone call from the Alzheimer Society of Sudbury-Manitoulin North Bay & District
within 5 business days unless otherwise specified or if a waitlist occurs.
An intake form will be completed to assess their needs and what services we can provide
Follow-up by our Family Support Counsellor, Education Coordinator, or an information
package will be sent
First Link® will send a confirmation to a physician or family health team referral when contact
has been made with the individual (PWD) or family member.
For more information or to receive a referral form, contact Ashleigh Milne or Diane Windsor
at the Alzheimer Society:
Email: [email protected]
[email protected]
Phone: 705-495-4342
Fax: 705-495-0329