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FAX TO: Arizona Smokers Helpline 18668971263 TODAY IS DATE: / / Location #8816 Pima County Employee Wellness FAX BACK #5207248150 Referred By: Alternate Fax: () Client Consent and Personal Information
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Ashline QuitFax - Pima is a reporting form used to report information about tobacco quitline services provided by Ashline in Pima County.
Healthcare providers and organizations that provide tobacco quitline services in Pima County are required to file Ashline QuitFax - Pima.
Ashline QuitFax - Pima can be filled out online or submitted via mail. It requires information about the tobacco quitline services provided and the number of clients served.
The purpose of Ashline QuitFax - Pima is to track and report data on tobacco quitline services in Pima County to help improve public health outcomes related to tobacco use.
Information such as the number of clients served, demographics of clients, types of services provided, and outcomes of the services must be reported on Ashline QuitFax - Pima.
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