Provider Patient Referral form
To refer a patient to BrainHealth, please fill out the HIPAA compliant form below. You may also download the referral form and fax to 1-877-766-3950 or upload here.
BrainHealth provides actionable science-based programs and feedback for those at risk or in the early stages of cognitive impairment. We offer:
- Risk assessment + consultation
- APOE genetic testing
- Personalized lifestyle coaching
- Biomarker testing
- Referrals to specialists
- Ongoing support