@paul55 Mayo must have changed their policy because in the past they required a referral before they would even consider you for an appointment. I would not hesitate to ask your local doc for a referral. That should not be an issue. I told our doctor it was for a second opinion. If your neurologist has an issue with it, maybe time to find a new doctor.

@paul55 my husband’s neurologist is based in Green Bay and saw my husband twice in person and twice on a Telehealth visit. One year ago I asked for a definitive diagnosis and the neurologist said MCI with a possibility of early onset Alzheimer’s. On our last Telehealth visit I started with the request for a referral to Mayo. I was relieved that his response was very positive. The neurologist was willing to keep my husband on Aricept and the supplement Membrin indefinitely. My husband’s symptoms and mental capabilities were changing. My husband has scored 13/30 on the MoCA test two years in a row. I am frustrated that we do not know which type of dementia that we are dealing with. If your local neurologist is professional, he/she will give you a referral and continue to follow Mayo’s suggested protocol. Good luck!