Submitting a Service Request
Requests for services are confidential and allocated according to resources and availability of funding. Enquiries can be submitted to the Services Manager of the county you request the service in. The service manager or dementia nurse specialist will then arrange to visit with the Client and Primary Carer. Needs are then assessed and places allocated according to availability. In some instances Client’s may be placed on a waiting list with service allocated once resources become available.
The first step to availing of our services is to fill in and return a referral form. You can download the form below and send back to your local Western Alzheimers office or call the office to request one to be posted to you.
Please note a letter confirming a dementia diagnosis is necessary and must be sent in with the application form.
Contact the office nearest to you with any questions.
Head Office, Ballindine, Co. Mayo
Tel: 094 93 64900
Fax: 094 93 64946
Colonial Buildings, Eglinton St., Galway
Tel: 091 565 193
Fax: 091 569 223
Goff Street, Roscommon
Tel: 090 66 27816
Fax: 090 66 30501