Evaluating older adults with a complaint of dizziness can be a challenge; there can be several contributing factors to dizziness and symptoms can be difficult for the patient to describe. Determining the source of the dizziness is key to selecting the most effective intervention. This course guides therapy professionals in the evaluation of patients with dizziness and differentiation between central and peripheral causes of dizziness. Clinical pearls for assessing patients with mild cognitive impairment (MCI) and dementia who complain of dizziness are presented.