Mon–Fri 8AM–5PM · Telehealth Available
VerityMD Neurology accepts new patient referrals by fax: (916) 244-3875
Careful Evaluation for Early Alzheimer’s Disease, Biomarker Testing, and Disease-Modifying Therapy Discussion
Some patients with mild cognitive impairment or early Alzheimer’s disease may ask whether newer disease-modifying therapies such as anti-amyloid treatments could be appropriate.
VerityMD Neurology provides careful clinical review for Alzheimer’s disease diagnosis, cognitive stage, MRI safety, biomarker confirmation, medication risks, and shared decision-making when advanced treatment evaluation is clinically appropriate.
Symptoms We Evaluate
Mild memory loss
Mild cognitive impairment
Early Alzheimer’s disease diagnosis
Family concern about progression
Interest in anti-amyloid therapy discussion
Need for biomarker or MRI review
Questions about benefits, risks, and monitoring
Conditions We Help Evaluate or Manage
Mild cognitive impairment due to Alzheimer’s disease when supported by workup
Early Alzheimer’s disease
Amyloid-positive cognitive impairment
Cognitive symptoms requiring further diagnostic clarification
Patients needing careful risk review before advanced therapy consideration
Services and How They Help
Candidacy Review
Candidacy review includes cognitive stage, diagnosis, functional status, medical history, bleeding risk, anticoagulant use, MRI findings, and patient/family goals.
How this helps:
Clarifies whether further evaluation is appropriate
Identifies safety concerns
Supports realistic shared decision-making
Biomarker and Imaging Review
Advanced therapy decisions may require amyloid confirmation and MRI review.
How this helps:
Helps confirm whether Alzheimer’s biology is present
Reviews ARIA and MRI-related safety considerations
Guides treatment pathway planning
Shared Decision-Making and Monitoring Plan
Anti-amyloid treatment requires discussion of potential benefits, risks, infusion logistics, MRI monitoring, and family support.
How this helps:
Helps patients and families understand tradeoffs
Supports safer monitoring
Clarifies expectations and responsibilities
When Alzheimer’s Treatment Evaluation May Be Helpful
Mild cognitive impairment or early dementia with concern for Alzheimer’s disease
Interest in Leqembi or anti-amyloid therapy
Need for amyloid PET/CSF biomarker discussion
Need for MRI safety review
Family wants structured counseling about risks and benefits
What to Bring or Have the Referring Office Send
Referral from PCP, specialist, or referring provider
Medication list, including over-the-counter medications and supplements
Relevant office notes, hospital records, imaging reports, labs, and prior neurological testing if available
Prior cognitive testing
Amyloid PET/CSF results if available
Brain MRI reports and images if available
Medication list including anticoagulants/antiplatelets
APOE results if available
Important Note
This page is for patient education and does not replace individualized medical advice. Testing and treatment decisions should be based on the patient’s history, examination, records, medications, insurance requirements, and clinical judgment.
Emergency Symptoms
Call 911 or go to the nearest emergency department for:
Sudden weakness, facial droop, trouble speaking, or new vision loss
Severe sudden headache or rapidly worsening neurological symptoms
Loss of consciousness, seizure, chest pain, or severe shortness of breath
New inability to walk or sudden severe dizziness with stroke-like symptoms
New Patient Referrals
VerityMD Neurology accepts new patient referrals by fax from the patient’s primary care physician, specialist, or referring provider’s office. To ensure accurate triage, insurance verification, and appropriate scheduling, referrals should be sent directly from the referring provider’s office.
Patients who would like to be seen at VerityMD Neurology should contact their PCP, specialist, or referring provider and ask them to fax a neurology referral with relevant clinical notes, insurance information, medication list, imaging reports, lab results, and prior neurology records if available.
We accept the following insurance
Client Stories
What Our Patients Say
My husband and I are very impressed with the care and professionalism of Dr. Mittal and his staff. Dr. Mittal took time to listen to us - to ask us questions - and to clearly explain the diagnosis and his treatment recommendations. We feel very fortunate - and relieved - to have this neurologist as a member of our care team.
Dr. Manoj Mittal thoroughly understands the complexities of my condition (involving my brain, neck, and nerves) and developed a comprehensive action plan. During my follow-up visit, he carefully assessed my progress to ensure I was staying on track. I had been neglecting a few aspects of my treatment, but he guided me back on course. My treatment involves a team of specialists, multiple surgeries, and personal effort, and I’m truly satisfied with the plan. For the first time in nearly a decade, I feel genuinely hopeful. Thank you, Dr. Manoj Mittal. A+
I was concerned about issues and I called their office. My appointment was not until January and after hearing my concerns, the staff had me scheduled on a Monday, which happens to be two days from when I called voicing my concerns. Nice job.
Dr. Manoj Mittal is an excellent neurologist. He listens carefully, explains everything clearly, and truly cares about his patients. My mom is under his care, and we are very grateful for his expertise and compassion. Highly recommend!
Saw Dr. Mittal and during the first visit he was able to order a few tests that helped diagnose my issue. During the appointment he spent a good amount of time with me and made me feel heard. He was then able to see me again on short notice to help direct me towards next steps, I am very grateful to him.
My 1st appointment with Dr. Mittal, was such a pleasure & surprise. The staff & Dr. Mittal were kind & not in such a hurry. The Dr. took a half hour with me, thoroughly explaining his thoughts & what was to come. Impressed is not a strong enough adjective! Thank you for being a true Doctor who cares.
VerityMD Neurology offers expert neurological care for Sacramento, Carmichael, Folsom, and surrounding communities under the guidance of board-certified neurologist Dr. Manoj Mittal.
Quick Links
Services
Contact
Phone: (916) 500-4989
Fax Referral: (916) 244-3875
Office Hours
Mon-Fri: 8:00 AM–12:00 PM and 1:00 PM–5:00 PM
Closed for lunch: 12:00 PM–1:00 PM
Sat–Sun: Closed
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