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Helpline Online Request

Thank you for contacting the Alzheimer's Association, National Capital Area's Helpline Online.

Information submitted will be kept confidential.

Please understand we are only able to respond to those who either live in the National Capital Area (DC/MD/VA) or whose family member with Alzheimer's is located in our area. If you need assistance but are outside our service area, see this page to find a local chapter of the Alzheimer's Association in your area.

We do not recommend professionals, agencies or facilities. Each individual and family are unique and have different needs and expectations. We discuss guidelines and considerations and will provide a list and/or several possible options. We can also provide written information by mail and/or can direct you to information on the internet that is specific to your request.

For complex issues, contacting us by telephone rather than e-mail allows us to serve you better.

Normally, we are able to reply to your e-mail questions within two working days. If you need a response in less than three working days or do not receive a response in three working days, please telephone us toll-free at 1-800-272-3900 or 703-359-4440.

*Required fields which are needed to respond to your inquiry.

*First Name
*Last Name
*Email address:
Home Phone:
Work Phone:
Fax:
Street Address
*City
*State
*Zip Code
*Are You: An individual with memory loss
Family
Professional in the Alzheimer's field
Both family and professional in the Alzheimer's field
*Preferred method(s) for us to contact you (please include your phone number if we may contact you by telephone):

E-mail Phone Regular Mail Fax

*Please write your question and information you think would be helpful to us in answering:

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© 1997 - 2005 Alzheimer's Association, National Capital Area. All rights reserved.
703-359-4440 or toll-free 1-800-272-3900