AFA’s Membership and Screening Portal

Alzheimer's
Foundation of America

Screening: Data Collection Form

  • Additionally, please upload any completed Voluntary Participant Surveys. If you are having trouble uploading the surveys, please submit them by using one of the following options:
    • Email – screening@alzfdn.org
    • Fax- 646-638-1546
    • Mail- National Program Coordinator, 322 8th Ave, 7th Floor, New York, NY 10001

    Drop files here or
    Accepted file types: doc, docx, pdf.