Neurocognitive Screening Test Form
Neurocognitive Disorder Screening
4A Prime Medical Supplies provides you with neurocognitive screening kits at your doorstep. Neurocognitive disorders are the most common cause of dementia worldwide. It affects millions of people globally.
Many people have no idea they have the condition, but the damage has been done by the time symptoms become obvious. We need a simple, accurate, and affordable test to detect early signs of the disorder.
Many people have no idea they have the condition, but the damage has been done by the time symptoms become obvious. We need a simple, accurate, and affordable test to detect early signs of the disorder.
Form Guide
Type of Insurance
Please, specify if it’s medicare or private. If it’s private, kindly put the name of the Insurance Company.Name of the medicine they are taking
Please, specify the brand and medicine name: Ex: Brand: Motrin IB Type of Medicine: Ibuprofen Tablet, 200mgNeurocognitive Screening Test Form
"*" indicates required fields