NYS Smokers’ Quitline Online and Fax-to-Quit Referral Program
Refer-To-Quit Program
Online and Fax-To-Quit referral program
The New York State Smokers’ Quitline offers its Refer-to-Quit program for health care providers to help their patients stop-smoking. As a confidential service, we offer counseling and cessation-related services to patients who use tobacco products.
How Refer-to-Quit Works:
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Health care providers can refer their tobacco-using patients to the New York State Smokers’ Quitline using the Refer-to-Quit fax referral form or using our online referral program.
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Refer-to-Quit procedures.
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Patients will receive a follow-up call from a Quit Coach who will provide a stop-smoking or stop-smokeless-tobacco counseling session.
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Patients will receive a Stop-Smoking or Stop-Smokeless-Tobacco packet in the mail with information tailored to their specific situation and a listing of local stop-smoking programs.
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A sample progress report (feedback form) with information about the patient’s tobacco-use status will be faxed back to the health care provider from the Quitline.
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Patients can be referred to the New York State Smokers’ Quitline as often as needed.
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Patients can call the New York State Smokers’ Quitline as often as needed.
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There is no limit to the number of patients a health care provider may refer.
Click here for more information http://www.nysmokefree.com/PageView.aspx?P=85&P1=8520









The Center For Smoking Cessation at Seton Health • 24 Aviation Road, Suite 204 • Albany, NY 12205