---
title: Neuropsychological Testing Form for Dementia Assessment | Paperform
description: Professional intake and appointment booking form for dementia neuropsychological evaluations with cognitive screening, caregiver interviews, multi-session scheduling, and driving safety assessments.
url: "https://paperform.co/templates/neuropsychological-testing-for-dementia-assessment"
type: static
generatedAt: "2026-03-28T00:44:37.658Z"
---

[← Back to free form templates](/templates/)    ![Neuropsychological Testing for Dementia Assessment](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/neuropsychological-testing-for-dementia-assessment.png)
    [Preview](https://_preview.paperform.co/ai-template/neuropsychological-testing-for-dementia-assessment) [Use this template for free](/create?ai-template=neuropsychological-testing-for-dementia-assessment)    [Order & Booking Forms](/templates/category/orders/)[Healthcare & Medical Forms](/templates/category/healthcare/) [Healthcare](/templates/industry/healthcare/) [Physician](/templates/role/physician/)[Nurse](/templates/role/nurse/)[Psychologist](/templates/role/psychologist/)[Healthcare Administrator](/templates/role/healthcare-admin/)     About this free form template
### Streamline Dementia Assessments with a Comprehensive Neuropsychological Testing Form

Neuropsychological testing for dementia requires careful coordination of multi-session appointments, detailed patient histories, caregiver input, and specialized assessments like driving safety evaluations. This **neuropsychological testing form template** helps healthcare providers, memory clinics, and neuropsychology practices manage the entire intake and scheduling process in one organized, professional workflow.

#### Why Healthcare Providers Choose This Template

This form is designed specifically for **neuropsychologists, geriatric specialists, memory clinics, and cognitive health centers** conducting comprehensive dementia evaluations. Instead of juggling paper forms, multiple phone calls, and scattered appointment systems, you can capture patient information, caregiver insights, medical history, and schedule multiple testing sessions—all in one streamlined form.

The template includes sections for cognitive screening questions, detailed caregiver interviews, medical and medication history, functional assessments, and driving safety evaluations. It also enables you to schedule the required multi-session appointments directly within the form, reducing administrative burden and ensuring patients and caregivers have clarity on next steps.

#### Built for Complex Clinical Workflows

With Paperform's conditional logic, you can tailor the form experience based on referral source, severity of symptoms, or specific testing needs. For example, if a caregiver indicates concerns about driving safety, additional questions automatically appear. If the patient requires interpreter services or transportation assistance, relevant fields display to capture those needs.

The appointment scheduling feature lets you set availability for initial consultations, full neuropsychological batteries, feedback sessions, and follow-up appointments—all configured to your practice's specific testing protocols and time requirements.

#### Integrate with Your Clinical Systems

Connect this form to your EHR, practice management software, or scheduling tools using Paperform's native integrations or [Stepper](https://stepper.io) workflows. Automatically create patient records, send appointment confirmations and reminders via email or SMS, and route referrals to the appropriate specialists. You can also use Paperform's reporting features to track referral sources, appointment volume, and assessment types over time.

For practices requiring compliance documentation, this template can integrate with [Papersign](https://papersign.com) to collect digital consent signatures for testing, release of information, and driving assessment reports—keeping everything linked to the original intake submission.

#### Designed for Patient and Caregiver Ease

The form's clear layout and guided flow make it easy for caregivers to complete on behalf of patients, or for patients in early stages to complete with support. You can embed it directly on your clinic website, send it as a secure link after referral, or display it on a tablet in your waiting room. With mobile-responsive design, caregivers can complete the intake at their convenience before the first appointment, saving valuable clinical time.

Whether you're a solo neuropsychologist, part of a hospital-based memory center, or running a specialized cognitive health clinic, this template helps you deliver thorough, compassionate care while keeping your administrative workflows efficient and organized.
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