Comprehensive Cognitive Evaluation: Memory & Cognitive Symptom Diagnosis
If you or someone you love is noticing memory lapses or other cognitive changes, Comprehensive Cognitive Evaluation offers a focused, two-visit path to answers — a thorough diagnostic workup, a clear explanation of what's happening, and a plan for what comes next. This evaluation is available in person only, at our Rochester, NY office.
“Dr. G at Healthspan Neurology was the first doctor to get the answers I was looking for after others had missed it — I can’t overstate how life-changing that was for me. She responds quickly, listens thoughtfully, and always makes me feel supported. Her team-based approach and trusted referrals have given me peace of mind and better results than I ever expected. Most importantly, Dr. G thinks outside the box. She’s mission-driven and genuinely empowers me to take control of my care in a way that fits me. If you want a neurologist who goes far beyond the traditional system, Dr. G is the one”
Who This Is For
Comprehensive Cognitive Evaluation is designed for anyone noticing real, ongoing cognitive symptoms now — not risk factors or family history alone, which is what the Cognitive Longevity Program addresses. You may benefit if you or a loved one:
Are experiencing new or worsening memory lapses, confusion, or word-finding difficulty
Have been told by family or friends that something seems different
Want a clear diagnosis rather than continued uncertainty
Need a plan for next steps — whether that's ongoing management, referral, or reassurance
How It Works
Two visits, both in person at our Rochester, NY office.
Visit 1 — Comprehensive Assessment
Scheduled at intake, this 90 to 120 minute visit includes a full history, a complete neurologic exam, and traditional (non-digital) cognitive testing to establish a clear picture of what's happening.
Visit 2 — Results & Recommendations
Once your results are ready, we schedule a follow-up visit — up to 90 minutes — to review your findings together, explain the diagnosis, and lay out recommendations for ongoing care, including referral to specialists or continued management as appropriate.
How This Is Different
Standard neurology appointments are often brief, focused on a single symptom, and disconnected from the broader picture of a patient's health. That model works for straightforward cases. It frequently falls short when the concern is memory or cognition.
At Healthspan Neurology, evaluations are comprehensive and unhurried. Appointments allow time to review prior records, listen carefully, and understand the full context of your life — not just the symptoms that brought you in. Addressing cognitive concerns means understanding what matters to you: your priorities, your goals, and the environment you live in. The brain doesn't function in isolation — cognitive symptoms are frequently influenced by medications, sleep, hormones, metabolic health, and mood, and all of it is part of the conversation.
With more than 25 years of experience in the Rochester medical community, Dr. Gajaweera also maintains an extensive network of trusted specialists. When referrals or coordinated care are needed, they are made thoughtfully — to people she knows and trusts.
Fees
-
Comprehensive Cognitive Evaluation Over Two Visits
Includes two 90 minute visits with Dr. Gajaweera
Includes traditional (non-digital) cognitive testing
Recommendations for diagnostic testing
Review of testing results
Time to discuss your plan
Recommendations for ongoing care
$1200
-
Digital Cognitive Assessment (add-on only)
45” computerized testing battery
Performed in convenience of your home
Trackable over time
Assesses 12 cognitive domains
More sensitive than routine testing
More objective than neuropsychological testing
$150
Frequently Asked Questions About Neurologic Consultation
-
If you are experiencing symptoms that affect the brain, spine, or nervous system — headaches, memory changes, dizziness, numbness, tremor, seizures, or weakness — a neurologist is the appropriate specialist. If your symptoms have been evaluated elsewhere without a clear answer, a second opinion from a neurologist is also worth considering.
-
Neurologists diagnose and treat conditions of the nervous system medically. Neurosurgeons perform surgical procedures on the brain and spine. Most neurologic conditions are managed without surgery — and a neurologist is typically the first specialist to evaluate and direct care.
-
No. Healthspan Neurology is a direct-pay practice and does not require a physician referral. We do require that all patients have a primary care doctor. You can schedule a complimentary introductory call directly to discuss whether a consultation is right for you.
-
Yes. We offer both in-person consultations in Rochester and telemedicine appointments for patients throughout New York State. Some evaluations benefit from an in-person neurologic examination — we will advise you on which is more appropriate for your situation.
-
Initial consultations are typically 90 minutes. Complex cases — particularly those involving multiple symptoms, prior inconclusive workups, or requests for second opinions — often take longer. We don't impose a time limit on visits that require more.
-
Prior imaging, lab results, records from other specialists, and a list of your current medications and supplements are all helpful. The more context you can provide, the more productive your evaluation will be.
-
Not always. In many cases, a thorough history and neurologic examination provide sufficient clarity. When additional testing is indicated — imaging, laboratory work, nerve studies, or other diagnostics — we will explain what is needed and why, and order only what is clinically relevant.
-
Healthspan Neurology is a direct-pay practice, which means consultation fees are not billed to insurance. Many patients use HSA or FSA funds. Diagnostic testing ordered during or after your consultation — imaging, labs, nerve studies — is typically billed through your insurance. See our Pricing & Policies page for details.
Getting Started
Your first step is a complimentary 15–20 minute introductory call — directly with Dr. Gajaweera, not a scheduler or staff member. We'll talk through what you're dealing with, and together decide whether a Neurologic Consultation is the right fit for your situation. Available in person in Rochester, NY.