• Refer to local HealthPathways or local guidelines
• Referral to credentialed pharmacist for Home Medical Review/Residential Medication Management review if evidence of polypharmacy
• If at risk of malnutrition or malnourished, consider referral to a dietitian if this aligns with the patient treatment goals
• Referral to occupational therapy driving assessment if locally available
• Consider ongoing Allied Health support as appropriate i.e. Dietitian, Social Worker, Occupational Therapist, Physiotherapist, Psychologist, Speech and Language Therapist

Clinician resources

• Clinical Practice Guidelines and Principles of Care for People with Dementia
• Support Pathways for people with Younger Onset Dementia
• Dementia Support Australia
• ADNeT Memory & Cognition Clinic Guidelines

Patient resources

• Diagnosis, treatment and care for people with dementia – A Consumer Companion Guide
• Caring for someone with dementia
• My Aged Care
• Occupational Therapy Australia, Find an OT
• Elder Abuse Prevention Unit
• Younger Onset Dementia & NDIS

• Current list of medications
• Relevant medical, psycho-social history (psychological symptoms), co-morbidities, allergies, and assessment of medication adherence.
• Brief historyregarding the cognitive, behavioural and functional changes/decline and their timeline
• Safety concerns e.g. unsafe walking & driving, medication non-compliance, unintentional weight loss, living alone, compromised insight (if relevant) disorientation in public spaces; concerns re financial management &/or abuse
• Assessment of cognitive function with a validated instrument
• Investigation blood test results – FBC, ELFT, Calcium, TSH, Vitamin B12 (if available)
• Recent brain imaging reports (CT or MRI brain) (if available)
• Care-giver, disability support workers, or speech pathologists or other informant contact details (if patient consenting)
• Social situation: living alone; partner/family supports?

NB If a specific test result cannot be obtained due to access, financial, religious, cultural or consent
reasons a clinical override may be requested. This reason must be clearly articulated in the body of
the referral.

• Risk factors for cognitive impairment including strong family history, diabetes, smoking and sleep study (if completed).
• Rockwood Clinical Frailty Scale score (if available)
• Is there currently any of the following in place:
  • GP Management Plan (GPMP),
  • Team Care Arrangement (TCA)
  • Mental Health Management Plan (MHMP)
  • Recent Health Assessment (HA)

If so, please attach or provide information.

• Include details of multiple cognitive assessments completed over time by the primary care physician to support the referral and demonstrate cognitive change or progression.
• Enduring Power of Attorney & Advance Health Directive or Statement of Choices document (copy)
• Availability of transport to appointment and willingness to attend appointment or accommodations such as support worker assistance, flexible appointment scheduling, or home visits is home visit required? (This may vary dependant on your local region service)
• Willingness or suitability to participate in telehealth/virtual clinic where appropriate