Get the free Fax-to-quit form - New York Smokers Quitline - www2 massgeneral
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New York State Smokers? Quit line 1-866-NY-QUITS (1-866-697-8487) Refer-to-Quit Patient stamp, label, OR info (name, record number, DOB, date): Referral Form Fax form to: 1-866-QUIT-FAX (1-866-784-8329)
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What is fax-to-quit form - new?
The fax-to-quit form - new is a document used for quitting a service or subscription via fax.
Who is required to file fax-to-quit form - new?
Individuals or organizations who wish to quit a service or subscription using the new fax-to-quit form are required to file it.
How to fill out fax-to-quit form - new?
To fill out the fax-to-quit form - new, you need to provide your personal or organizational details, the service or subscription you want to quit, and any relevant information as requested on the form.
What is the purpose of fax-to-quit form - new?
The purpose of the fax-to-quit form - new is to provide a formal way for individuals or organizations to communicate their intent to quit a service or subscription.
What information must be reported on fax-to-quit form - new?
The information that must be reported on the fax-to-quit form - new includes personal or organizational details, the service or subscription being quit, and any other requested information as specified on the form.
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