A neurocognitive evaluation that takes from 2 to 3 hours and examines the various cognitive domains or cognitive abilities including memory, language, attention, visuospatial abilities, and executive functions. A report is then sent to the patient’s physician.
Payment for services: Dr. Peppard is a Medicare provider and also works with many PPO insurance plans. He is not contracted with any HMOs and in such cases would offer a fee for service arrangement.
Individual, couple or family counseling regarding a memory disorder such as Mild Cognitive Impairment and dementia. This would serve to help the person with the memory deficit or disorder to understand and accept the impairment(s) and develop compensatory methods and strategies to better cope with the problems created by a memory issue. Counseling and education for family members to help them to understand and cope with the changes they are seeing and to provide a private and confidential place to talk about the many complex emotions that caregivers experience.
Education and Referrals
To provide educational information to the person with the memory problem and the family members. This would also include referrals to support groups at such organizations as Alzheimer’s Orange County and the Alzheimer’s Association (Orange County Chapter).
Referrals may also include:
- A formal driving evaluation such as that provided by Debbie Ricker, OTR/L.
- An in-home functional evaluation is sometimes necessary to determine if a loved one is safe living alone, would need professional caregivers in the home, or need to move into an assisted living facility.
- Geriatric Care Managers are extremely valuable resources for information and guidance in these critical matters.
- Two such Care Managers are:
Judy Dahle, RN, MS, MSG
Jane Mahakian, Ph.D., MFT
Talks and Presentations
Dr. Peppard gives talks and presentations to the general public and health professionals on such topics as Memory Loss, Mild Cognitive Impairment, Alzheimer’s disease, the other types and causes of dementia, and how to keep the brain healthy as we age.