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How old is your MIL?
What symptoms does she have that leads you think she's having a cognitive issue? FYI there are some illnesses that can also create dementia-like symptoms. One is a UTI. This is what she should be tested for first and foremost. The way you get an uncooperative person in for treatment is to call 911 and tell them she is not behaving like herself and you suspect a UTI. They will test her for this in the ER and prescribe antibiotics if she has an infection.
But if she doesn't, they will not do a cognitive test in the ER. This could be done most easily through an exam with her primary doctor. You may need to tell her a "therapeutic fib"... that an annual (free) wellness exam is required for her benefits to continue -- or whatever narrative you think will motivate her to go. Before the appointment you go into her medical portal (if she has one set up) or have a pre-written note that you discretely hand to the nurses explaning who you are and what your concerns are. Then you need to stay in the room during the entire exam (sit behind her if possible) so that when the doc asks her questions you can confirm or correct her answers. This is exactly what I did with my MIL and I was shocked at how poorly she did. She couldn't draw a clock face nor remember the 3 words (and this is the simpler cog test).
Please fill out your profile so we have more context to better give you suggestions that will be helpful.
She was given additional appointments to come in for testing, but did not bother to show up for them, and cousins felt like she was doing ok, so did not bother taking her for additional tests. Probably couldn't put up with the temper tantrums. Neither could I.
Why do you think your MIL has dementia?
Does your MIL live alone?
Who is your MIL next of kin?
https://www.harmonichealth.com/
I often wonder why people want a diagnosis.....unless other health issues may contribute to finding out if it's dementia or something like a brain tumor. Some mental changes can be something easy to rule out such as urinary infection, or looking at side effects of certain drugs. I've seen quite a few posts here where they confirm diagnosis and then wonder if they should tell the person. In that regard, I say 'no'. Why tell them? On my good days it would be something sad for me or constantly in my brain of what is to come. That's just me, though.