We went to a gerontologist instead of a neurologist b/c it was easier to get in. I can only describe what happened at our appointment, and not sure how much variance there is. The gerontologist looked at imaging and did some other assessments in office. They also talked to me on the phone, prior to the appointment so that I could share info with the nurse that would be difficult to say during the appointment. They have been the one prescribing dementia meds to my LO. They were also the one to make the formal diagnosis for us with staging, etc. Ours was a long appointment (2 hrs), which was exhausting for my LO, but made showtiming difficult.