MoCA PDF 2026 — Download the Montreal Cognitive Assessment Form

Official MoCA PDF Download

The Montreal Cognitive Assessment was developed by Dr. Ziad Nasreddine and is owned by the MoCA organization. The official download page is at mocacognition.com. This is the only source for the legitimate, validated MoCA forms.

Access requirements:

• As of 2020, clinicians must complete a free MoCA Basic Training certification before using the MoCA in practice. The training is approximately 2 hours and is available at mocacognition.com.
• The basic MoCA PDF is free for non-commercial clinical use after completing the training.
• Commercial use (research, pharmaceutical trials, large-scale assessment programs) requires a commercial license.

What you download:

• The MoCA scoring form (one page, printable) — the actual assessment tool administered to patients
• Administration and scoring instructions — a separate PDF covering proper administration, acceptable responses, and scoring rules
• Alternative forms (MoCA-ALT1, MoCA-ALT2) for retesting the same patient without memorization effects

MoCA Versions Available

The MoCA organization offers several versions for different clinical situations:

• MoCA Standard (MoCA-S): The original 30-point assessment. Requires literacy and ability to draw. Used for most outpatient clinical settings.
• MoCA-BLIND: Adapted for visually impaired patients — removes visuospatial tasks (cube, clock drawing, trail making). Maximum score is 22 points.
• MoCA-ALT1 and ALT2: Alternate forms with different memory words, clock times, and trail-making sequences to reduce practice effects when retesting.
• Telephone MoCA (T-MoCA): Adapted for telephone administration — removes all visual tasks. Maximum 22 points. Validated for telehealth settings.
• Translated versions: Available in 100+ languages at mocacognition.com.

How to Administer the MoCA

The MoCA must be administered by a trained clinician. It is not a self-administered test — the patient completes tasks under the clinician's observation and instruction.

Administration setting:

• Quiet environment without distractions
• Patient should be seated comfortably, facing the examiner
• Required materials: printed MoCA form, pencil, watch or stopwatch

MoCA domains (in order of administration):

1. Visuospatial / Executive (5 points):
   • Trail Making (1 pt): Connect alternating numbers and letters in sequence (1-A-2-B-3-C...)
   • Copy a Cube (1 pt): Copy a simple three-dimensional cube drawing
   • Clock Drawing (3 pts): Draw a clock face, place numbers, set hands to 11:10
2. Naming (3 points): Show pictures of a lion, rhinoceros, and camel — patient names each animal.
3. Memory (5 points — delayed recall): Read five words twice, patient repeats. Recalled later for scoring.
4. Attention (6 points): Forward digit span, backward digit span, vigilance task (tap at letter A), serial 7s subtraction from 100.
5. Language (3 points): Repeat two sentences, phonemic fluency (words starting with F in 60 seconds).
6. Abstraction (2 points): Explain similarity between two paired items.
7. Delayed Recall (5 points): Recall the five words from the memory section (with optional cuing).
8. Orientation (6 points): Date, month, year, day, place, city.