Online Registration

Where applicable, please contact our Dementia Helpline at 6377 0700 if you are registering as an organization or group.

Types of Registration Forms

Online Registration for Caregiver Support Groups

Caregiver Support Groups

Caregiver Support Groups: *

Salutation: *

Name of Caregiver as per NRIC: *

NRIC No./ Passport No.: *

Address: *

Postal Code: *

Contact (Home): *

Contact (Mobile): *

Contact (Office):

Email: *

Caring for a Person with Dementia in: *

Period of Caring for Person with Dementia (Years/ Months): *

Relationship to Person with Dementia: *

Name of Person with Dementia: *

Age: *

Gender: *

Remarks:

Online Registration for Other Events, Trainings and Workshops

Online Registration for World Alzheimer's Day 2012 Forum

Caregiver Support Group

Our Caregiver Support Centre runs support groups in English, Mandarin and Malay.

Caregiver Support Group

Counselling

We provide counseling services and it is strictly private and confidential.

Counselling

Help Available

Provide a list of day care centres for people with dementia, helpline service and others.

Help Available

Dementia Helpline

6377 0700

Mondays to Fridays

9.00am - 6.00pm

Join the Cause

There are many ways you can support and help us in promoting the awareness of dementia.

Make a purchase that makes a difference

Each time when you make a purchase with us, you are helping to support the work of Alzheimer’s Disease Association in providing care for people with dementia and their caregivers.