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Contact Form

Please use the form on this page to:

Request our FREE Dementia information package.


Ask a basic question about Dementia.


Or, if you have a question about donations, memorials, fundraisers, legacy gifts, etc., please provide brief details in the message section, and we will email you back for more information.

Our mission is to raise Dementia awareness by educating the public about the syndrome of Dementia.

If you would like our informative Dementia education package, please complete the short form on this page. We will send it out as soon as possible at no cost.


Please expect to receive it within a couple of weeks. It comes in a plain envelope marked "DSA Information Requested" in the return address section.

Please be patient; we are a volunteer-driven organization and handle many requests for information.


Thank You!


FORM A-012323

Thanks for submitting!

Subscribe to our Monthly Email eNews:

Click here.

Nonprofit Tax EIN:


Dementia Society, Inc., doing business as:

Dementia Society of America


Mail Correspondence to:

Dementia Society of America

Post Office Box 600

Doylestown, PA 18901 USA

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