These forms are for pharmacists who want to refer their smoking patient to the I QUIT NOW services. The patient should receive a phone call in 1 or 2 business days after you have submitted the form. The smoking cessation specialists working at the I QUIT NOW quitline will be receiving all completed forms and will present all I QUIT NOW services to the patient:

• Telephone support offered by the I QUIT NOW quitline,
• Online support offered by the I QUIT NOW website,
• In-person support offered by the Quit Smoking Centres of their region,
• Text message support offered by the SMAT.