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Dementia Symptoms Checklist

If you have experienced a significant change from your previous level of thinking or functioning, you may want to bring a list of these problems to your appointment with your healthcare provider. Why? Particular patterns of symptoms may point toward certain diagnoses or categories of diseases. Initial test results may not validate your observations or concerns. Documenting your symptoms over time is important for an easier, quicker and more accurate diagnosis and treatment.

Click on the video for instructions on how to use the symptoms checklist
The symptoms checklist can be filled out online, or you can download a copy to print

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