Client Referral Form

For Medical Professionals and Case Managers:

• Referral Form (PDF)

For Clients, Families, Friends, and Caregivers:

• Alzheimer's Alliance of Smith County Brochure (PDF)
• Understanding Memory Loss (PDF)
• Caring for a Person with Alzheimer's Disease: Your Easy-to-Use Guide (PDF)

Referral forms can be mailed, faxed, or emailed to:

Alzheimer's Alliance of Smith County
Attn: Luanne Harms, Client Services Director
211 Winchester Drive
Tyler, Texas 75701

Fax: (903) 509-8373

Email: luanne@alzalliance.org