With the observations you've made of the person you're concerned about and a basic foundation of knowledge about Alzheimer's, you're ready to consult with a medical professional.

• Start with his or her regular primary care doctor. This professional is optimal because he's observed your family member over time. But if the doctor doesn't seem particularly knowledgeable about dementia or doesn't seem to be taking your concerns seriously, it's probably time to look for a more appropriate choice, ideally someone with experience in treating dementia. Contact your local Alzheimer's Association chapter, Alzheimer's Disease Center, other Alzheimer's program, or hospital referral system. A geriatrician (a physician who specializes in treating older adults) may be especially helpful.
• Go along to the office visit. Even if you don't have a history of attending medical appointments, try to arrange to be at this one: "I've been worried about you. Let's make sure everything is all right or see if the doctor can help with that memory problem. I'll come with you because you know they now say it's a good idea for more than one adult to be at all kinds of medical appointments. That way, between the two of us, we'll keep track of everything the doctor says."
• Be prepared for the appointment. Bring your notebook of observations, including a list of the medications he or she is currently taking, and a list of questions you'd like to ask, as well as his or her medical history if it's a new doctor. Be sure to include a request for referrals to specialists (if necessary) in your list of questions.
• Arrange for some assistance. If you live far away and can't be there for the appointment, try to make sure someone you all trust accompanies him or her. Ask your loved one to sign a release permitting you to discuss his or her medical records and care with the doctor so you can call directly with follow-up questions after the intermediary gives you a report.