Memory
Delayed Recall & Retention
Helps assess the ability to learn and recall new information after a short delay.
The Montreal Cognitive Assessment (MoCA) is a standardized screening tool used to evaluate memory, attention, language, and other thinking abilities. It can help identify possible cognitive changes and determine whether further medical evaluation may be appropriate.
Screening
Standardized 30-Point
Testing Time
Approx. 10–15 Mins
Oversight
Clinical Guidance
Pricing
$40 per Appointment

Assessment
Montreal Cognitive Assessment (MoCA)
Appointment Duration
30 Minutes
Screening Duration
Approximately 10–15 Minutes
Price
$40
Referral Required
No
Recommended Frequency
As Clinically Indicated
After Your Visit
Resume Normal Activities
Location
North Vancouver
The Montreal Cognitive Assessment is a widely recognized screening instrument designed to evaluate several aspects of cognitive functioning. At Parsa Wellness Clinic, your results are considered alongside relevant health history and individual factors to help guide appropriate next steps.
Standardized & Clinically Validated
The MoCA is a recognized cognitive screening instrument used by healthcare professionals to assess memory, attention, language, executive function, and other cognitive abilities.
Objective Cognitive Assessment
A structured assessment provides a measurable snapshot of cognitive performance. Results may support clinical evaluation and future comparisons when interpreted alongside individual health factors.
Professional Clinical Guidance
Dr. Majidreza Pourmand, ND, provides cognitive screening and reviews the findings alongside relevant health information. When appropriate, he can recommend further medical evaluation or follow-up with another healthcare professional.
Accessible Cognitive Screening
Book your cognitive screening directly at our North Vancouver clinic. Your appointment includes standardized assessment, scoring, and guidance on appropriate next steps.

Clinical Protocol
The MoCA uses a series of structured tasks to evaluate different aspects of cognitive functioning. Results help identify areas that may benefit from further clinical assessment.
The MoCA uses structured cognitive tasks to assess multiple aspects of thinking and memory. Standardized administration and scoring support consistent clinical interpretation.
The assessment examines several areas of cognitive functioning, including memory, attention, executive function, language, visuospatial abilities, and orientation.
The MoCA was developed to help identify possible mild cognitive impairment that may not be apparent through less detailed screening instruments. Results require clinical interpretation.
Results are scored according to the official guidelines for the assessment version used. Education, language, age, and relevant health factors are considered when reviewing the findings.
Assessment Pricing
Access standardized cognitive screening at our North Vancouver clinic with clear, straightforward pricing.
Standardized 30-Point Cognitive Screening & Clinical Review
1631 Capilano Rd, North Vancouver, BC
Mon–Fri: 8am–6pm • Sat: 8am–4pm
Insurance reimbursement depends on your individual plan and eligibility. Please confirm coverage directly with your insurer.
Comprehensive Evaluation
The MoCA examines several cognitive abilities involved in everyday thinking, communication, memory, and decision-making.
Delayed Recall & Retention
Helps assess the ability to learn and recall new information after a short delay.
Planning & Mental Flexibility
Evaluates aspects of planning, mental flexibility, and abstract reasoning used in everyday activities.
Perception & Organization
Assesses the ability to interpret and organize visual and spatial information.
Focus & Working Memory
Evaluates sustained attention, working memory, and basic mental calculations.
Fluency & Repetition
Assesses selected language abilities, including naming, sentence repetition, and verbal fluency.
Time & Place Awareness
Evaluates awareness of time and place as part of overall cognitive functioning.
When to Consider Testing
Cognitive screening may be useful when changes in memory, concentration, or other thinking abilities begin affecting everyday activities or raise concerns.
Noticing persistent or increasing difficulty remembering recent conversations, appointments, familiar names, or everyday information, particularly when these changes differ from your usual memory patterns.
Experiencing frequent 'tip-of-the-tongue' pauses, struggling to recall vocabulary during normal conversations, or substituting imprecise words.
Family members, partners, or caregivers have noticed changes in memory, communication, concentration, judgment, or the ability to manage familiar daily activities.
Trouble following complex conversations, sustaining attention during reading, or managing multi-step tasks that used to feel effortless.
Greater hesitation when managing household finances, scheduling, following multi-step recipes, or making decisions under time pressure.
Cognitive screening may be appropriate when memory or thinking changes are noticed, when certain medical conditions raise concerns, or when a healthcare professional recommends follow-up assessment.
Sudden confusion, difficulty speaking, new weakness, or other abrupt neurological symptoms may indicate a medical emergency. Call 911 rather than waiting for a routine cognitive screening appointment.
Clinical Comparison
The Montreal Cognitive Assessment (MoCA) and Mini-Mental State Examination (MMSE) are established cognitive screening instruments. Both assess cognitive functioning, but they differ in the tasks they include and their ability to detect certain types of impairment.
| Clinical Dimension | MoCA | MMSE |
|---|---|---|
| Primary Purpose | Brief cognitive screening developed with an emphasis on identifying mild cognitive impairment. | Established screening instrument used to evaluate overall cognitive functioning. |
| Cognitive Domains | Assesses memory, executive function, attention, language, visuospatial abilities, and orientation. | Assesses orientation, memory, attention, language, and basic visuospatial abilities. |
| Early Cognitive Changes | Includes more demanding executive and visuospatial tasks that may help identify subtle impairment. | May be less sensitive to certain early cognitive changes, particularly executive dysfunction. |
| Executive Function | Includes tasks involving mental flexibility, abstraction, and verbal fluency. | Provides more limited assessment of executive functioning. |
| Memory Assessment | Includes five-word learning and delayed recall tasks. | Includes three-word registration and delayed recall. |
| Visuospatial Assessment | Includes cube copying and clock drawing. | Includes copying intersecting pentagons. |
| Scoring | Standardized 30-point scale with applicable education correction. | Standardized 30-point scale; interpretation considers age, education, and clinical context. |
| Administration Time | Approximately 10–15 minutes. | Approximately 5–10 minutes. |
| Clinical Interpretation | Results help determine whether further cognitive evaluation may be appropriate. | Results help assess cognitive functioning and guide further evaluation when indicated. |
Both assessments are screening tools rather than diagnostic tests. The most appropriate assessment depends on individual symptoms, medical history, and clinical circumstances. Neither test independently establishes a diagnosis of dementia or another neurological condition.
The Assessment Journey · What to Expect
Your appointment follows a straightforward process designed to assess cognitive performance, explain your results, and identify whether additional evaluation may be helpful.
Your appointment begins with a discussion of memory concerns, relevant medical history, medications, and factors that may influence cognitive performance.
Your clinician guides you through structured tasks assessing memory, attention, language, executive function, visuospatial abilities, and orientation.
Your responses are scored using standardized MoCA guidelines. Your clinician reviews the overall screening result while considering relevant health history and factors that may affect performance.
Your clinician explains the screening findings and discusses whether further assessment, monitoring, or consultation with another healthcare professional may be appropriate.
Your MoCA results provide a useful snapshot of cognitive performance. When clinically appropriate, follow-up assessments may help monitor changes over time and determine whether additional evaluation is needed.
Preparation & Next Steps
The MoCA requires minimal preparation. A few simple considerations can help ensure your clinician has the information needed to interpret your results appropriately.
Standardized cognitive screening involves reading and listening tasks. Bring your reading glasses and wear hearing aids if you use them regularly.
Certain prescription medications, sleep aids, and supplements can influence attention and cognitive performance. Your clinician will review these during your appointment.
Acute sleep deprivation, dehydration, or heavy physical fatigue can temporarily lower scores. Aim for a restful night before your appointment.
Inform the clinic if you have language, hearing, vision, or communication needs that may affect testing. Your clinician can determine whether an appropriate MoCA version or alternative assessment is required.
Your clinician reviews your MoCA score using applicable scoring guidelines and explains how factors such as education, language, and health history may affect interpretation.
Your results are considered alongside relevant health history, medications, sleep quality, and other factors that may influence cognitive performance.
Based on your screening results and relevant health information, your clinician may recommend monitoring, additional medical assessment, or follow-up with an appropriate healthcare professional.
The Montreal Cognitive Assessment (MoCA) is a validated cognitive screening instrument. It does not independently diagnose Alzheimer’s disease, dementia, or other neurological conditions.
A lower-than-expected score does not necessarily indicate a neurological disorder, and a normal score does not completely exclude cognitive impairment. Results must be interpreted alongside symptoms, medical history, and other clinical findings.
If further evaluation is appropriate, your clinician can discuss suitable next steps, including assessment by a family physician or another qualified healthcare professional.
Experienced Clinical Care

ND · Licensed Naturopathic Doctor (CNPBC)
Naturopathic Doctor | Integrative and Holistic Medicine
Dr. Majidreza Pourmand is a licensed naturopathic doctor and integrative, holistic medicine practitioner with a strong foundation in cardiology and internal medicine. He focuses on cardiometabolic health, including hypertension, diabetes, obesity, and lipid disorders. His approach combines advanced diagnostics with evidence-informed, personalized care. By integrating conventional and complementary therapies, he helps patients reduce cardiovascular risk, improve metabolic function, and achieve sustainable, long-term health outcomes.
Common Inquiries
Everything you need to know about the Montreal Cognitive Assessment protocol, scoring criteria, and clinical follow-ups.
The Montreal Cognitive Assessment (MoCA) is a standardized screening instrument used to evaluate cognitive abilities, including memory, attention, language, executive function, visuospatial skills, and orientation. It helps identify possible cognitive changes that may require further evaluation.
The MoCA may help identify cognitive changes associated with mild cognitive impairment and certain neurological conditions. However, it cannot independently diagnose dementia or Alzheimer’s disease. Additional medical evaluation may be required to determine the cause of cognitive symptoms.
The standard MoCA assessment is scored out of 30 points. A score of 26 or higher has traditionally been used as a reference threshold, but results must be interpreted in context. Age, education, language, medical history, and other factors can influence performance. A score below 26 does not automatically indicate cognitive impairment, and a higher score does not completely exclude it.
A MoCA screening may be helpful if you or someone close to you has noticed changes in memory, concentration, language, or problem-solving. It provides a structured assessment of cognitive performance and may help determine whether further evaluation is appropriate.
The screening itself typically takes approximately 10–15 minutes. Your appointment is scheduled for 30 minutes to allow time for a brief discussion, assessment, scoring, and review of the findings.
No. The MoCA is a screening instrument, not a diagnostic test. Results may indicate whether further medical evaluation is appropriate, but a diagnosis requires a broader clinical assessment.
A lower score does not automatically indicate dementia or another neurological condition. Performance can be influenced by factors such as sleep deprivation, anxiety, depression, medication effects, sensory difficulties, language differences, and certain medical conditions. Your clinician will explain the findings and discuss appropriate next steps.
No referral is required to book a MoCA screening at Parsa Wellness Clinic. However, additional specialist investigations, if needed, may require referral through a family physician or another authorized healthcare professional.
The MoCA screening costs $40 at our North Vancouver clinic. Coverage varies by insurance provider and plan. Please confirm eligibility directly with your insurer before booking.
Yes, repeat cognitive screening may be appropriate when clinically indicated. The timing depends on your symptoms, medical history, and the reason for reassessment. Repeated testing should be interpreted carefully because familiarity with the tasks can influence performance.
Personalized Assessment · Cognitive Health
Concerned about changes in memory, concentration, or thinking? A standardized MoCA screening can provide useful information about cognitive performance and help guide appropriate next steps.
$40 · 30-Minute Appointment · North Vancouver