Cessation Information and Resources for Health Care Providers

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Doctors

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Health care providers will find information and resources here to help patients’ cessation efforts, including referral forms, and other resources. Please access the information through the links below.

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Web Referral Form

Click here to be redirected to the web referral form.

Print Referral Form

Click here for a downloadable PDF referral form.

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Cessation Information and Resources for Health Care Providers

Web Referral Form

Print Referral Form

Material Order Form