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 adrcreferrals@medicine.wisc.edu:
- Patient info
- Name
- Diagnosis
- Phone number
- Email address
- Alternate contact
- Caregiver contact's name
- Phone number
- Relationship to patient
Secure Online Form
Send us patient information using the online form.
Fax
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
Download this Wisconsin ADRC research participant recruitment flyer and post it in your clinic waiting area or exam rooms, if policy permits.
Download this Wisconsin ADRC Care Research Core Registry informational brochure and share it with patients and/or make it available in your clinic waiting area or exam rooms, if policy permits.
