CLINICAL CONSULT INFORMATION

• GP Practice Checklist
• Patient Plain Language Statement
• Patient Consent Form (Updated Feb 2025)
• MOCA
• GP Data Record form (complete form)
  – Visit 1 (individual form)
  – Visit 2 (individual form)
  – Visit 3 (individual form)
• Face Dementia checklist*
• GP to Patient speaking notes

PATHOLOGY- Referral to pathology provider for blood-based biomarker testing  

• GP Pathology Referral Instructions and how to create a STUDY ID number
• Referral form (HEALIUS Pathology request form)
• List of pathology labs for blood test

South Australia PATHOLOGY- Referral to pathology provider for blood-based biomarker testing (For SA ONLY)

• GP Pathology Referral Instructions and how to create a STUDY ID number
• SA Pathology request form
• List of SA pathology labs for blood test

SPECIALIST- Referral to specialist geriatrician or neurologist 

Specialist list and instructions

COLLATERAL

• Patient Poster – to display in your GP Practice waiting rooms and offices
• Practice Information Sheet – to assist those working in a GP Practice to understand the project and process
• GP Pack

HOW TO: PAYMENT PROCESS AND REPORTING

• Payment Process Instructions
• Payment schedule

INCLUSION CRITERIA:
1. Aged between 55 and 85 years. 
2. Presenting with cognitive decline symptoms – self report, clinician or other. 
3. MOCA or MMSE or RUDAS score between 20-27 plus a GDS (15 item geriatric depression scale) less than 8.  
4. Exclusion of secondary cause for their cognitive decline (normal bloods and CT brain scan + medication review).  
5.  Patient is able to give consent. 

EXCLUSION CRITERIA:
1. An established dementia diagnosis confirmed by a specialist. 
2. Patients who do not agree to be informed of their blood biomarker result. 
3. Renal impairment with eGFR <40 (known to falsely elevate pTau). 
4. Persons at risk of suicide based on expression of intent to self-harm if found to have AD, suicide attempt in the past 5 years or current significant depression. 

GP RESOURCES PACK

Complete resource pack designed to provide convenient access to all materials related to the Blood-Based Biomarkers for Alzheimer’s Disease in Primary Care Project.