Referring Patients to Research

doctor speaking with patient in office

To best meet the needs of each clinic, we offer three different ways to make referrals to the Wisconsin Alzheimer's Disease Research Center.


Include the following information in an email to

  • Patient info
    • Name
    • Diagnosis
    • Phone number
    • Email address
  • Alternate contact
    • Name
    • Phone number
    • Relationship to patient

Secure Online Form

Send us patient information using the online form.


Include the following documents in a fax to (608) 265-3091:

If you are outside of the UW Hospitals & Clinics network, please check with your institution as to which option meets your policies.

Referral Tools

flyer looking for people to volunteer for alzheimer's disease research


Download this Wisconsin ADRC research participant recruitment flyer and post it in your clinic waiting area or exam rooms, if policy permits.