Healthcare Professionals
Kentucky Tobacco Quitline - 1-800-QUITNOW - one page fact sheet on the Kentucky Tobacco Quitline, a free telephone counseling service that helps Kentuckians quit smoking and using tobacco. This is a FREE service.
Quitline Fax Referral Form - Patient Referral/Consent Form for the Kentucky Tobacco Quitline. As a healthcare provider, simply fill out the form for your patients/clients, have your patient sign the form and fax it to the number of the form. A trained counselor from the Kentucky Tobacco Quitline will contact your patient/client to discuss their options for tobacco cessation. This is a FREE service.
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