Evaluation 03
Memory & Cognitive Change Evaluation
For lapses you have started to notice, or that someone close to you noticed first.
Testing clarifies what reflects ordinary aging, stress, or disrupted sleep, and what reflects mild cognitive impairment or an early neurodegenerative process. Either way, you leave with objective measurements rather than reassurance.
- Format
- Virtual
- Testing time
- 5–7 hours
- Report
- 2–3 weeks
- Fee from
- $3,450
Who this is for
This evaluation fits
- 01Adults noticing names, appointments, or the thread of a conversation slipping
- 02Families who have observed changes and want them measured
- 03Patients with a family history of dementia who want a baseline now
- 04Anyone told to wait and see who would rather have data
Common reasons people come
What brings people here
Repeating the same question
Misplacing familiar objects
Losing the word mid-sentence
Difficulty with routine tasks
A concerned adult child
Planning ahead responsibly
What the evaluation includes
Measured, not estimated
Each area below is assessed with validated, age-normed measures and interpreted together rather than in isolation.
Detailed history
Onset, course, medical background, medications, sleep, and mood, with a family member present when helpful.
Memory-focused battery
Learning, delayed recall, and recognition measured separately, because the pattern between them is what carries the diagnosis.
Broader cognitive survey
Attention, language, and executive function, since memory complaints often originate elsewhere.
Records integration
Imaging, bloodwork, and prior evaluations reviewed alongside the testing.
Expected timeline
From first call to feedback
A small number of evaluations are scheduled each month, so each stage receives the hours it requires.
Consultation
15 minutesA short call, with family welcome to join.
Step 1 of 5Interview
Week 1History from you and, where useful, from someone close to you.
Step 2 of 5Testing
Week 1–2Five to seven hours of measures, paced comfortably.
Step 3 of 5Interpretation
Week 2–3Scoring against age and education norms, integrated with records.
Step 4 of 5Feedback
Week 3–4Findings explained clearly to you and to whomever you want present.
Step 5 of 5
What patients receive
What you leave with
A clear answer
Where your memory stands relative to your age and education, in plain terms.
A documented baseline
Scores that make any future change measurable rather than debatable.
A monitoring plan
What to watch, what to modify, when to retest, and whom to involve.
A report for your physician
Written so your neurologist or primary physician can act on it immediately.
Frequently asked
Questions people ask first
I am afraid of what testing might find.
That is understandable and common. Most people leave relieved: a substantial share of memory complaints trace to sleep, mood, medication, or thyroid function. When something more is present, finding it early is what opens the widest range of options.
Should a family member attend?
It usually helps. A partner or adult child can offer observations you may not have noticed, and can hear the feedback alongside you.
How is this different from a screening at my doctor's office?
A brief screening takes minutes and detects only pronounced change. This testing takes hours and detects subtle change, which is precisely what matters early.
How often should testing be repeated?
Often at one to two years, depending on the findings. The baseline established here is what makes repeat testing meaningful.
Clear next steps
How to begin
Request a consultation
A complimentary 15-minute call to describe what you are noticing and hear whether this evaluation answers your question.
Receive an estimate
A Good Faith Estimate and a written plan for scheduling arrive before any work begins.
Reserve your dates
Interview and testing sessions are scheduled together, so the full timeline is known from the start.
Also offered
While you wait
The Brain Blueprint™
Written work from this practice — plain-language guides to attention, memory, habit, and recovery. A one-page primer is free to download.
Next step
What happens next
Messages are answered within one business day. Consultations are usually available the same week.
- 01
Book a 15-minute call
Nothing is scheduled or charged at this stage.
- 02
We decide together
Which evaluation answers your question, what it costs, and when it can be held.
- 03
You receive it in writing
Dates, fees, and a Good Faith Estimate, before anything begins.