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Health care provider access

These forms are intended for healthcare professionals who wish to refer their smoking or vaping patients to the I QUIT NOW services. The specialists of the I QUIT NOW quitline will receive the completed forms and will offer patients the help of the I QUIT NOW services consisting of:

  • Online help offered by the I QUIT NOW website;
  • Help by phone offered by the I QUIT NOW quitline;
  • Help in person offered by the Quit Smoking Centres of their region.

Combining nicotine replacement therapy (NRT) with personalized support from I QUIT NOW services increases your chances of becoming tobacco-free.

Patient reference form from health facilitiesPatient reference from pharmacies