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HAWAII TOBACCO OUTLINE FAX REFERRAL FORM Fax Number: 18004833114 FAX SENT DATE: / / Provider Information: CLINIC NAME CLINIC ZIP CODE HEALTH CARE PROVIDER CONTACT NAME FAX NUMBER PHONE NUMBER YES
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How to fill out hawaii tobacco quitline

How to fill out Hawaii tobacco quitline:
01
Start by gathering your personal information such as your name, address, phone number, and email.
02
Research the available resources and services provided by the Hawaii tobacco quitline to determine which ones are most suitable for your needs. This may include access to counseling, nicotine replacement therapy, or other support programs.
03
Contact the Hawaii tobacco quitline via phone or online to begin the registration process. They will provide you with the necessary forms and information to fill out.
04
Follow the instructions provided by the quitline to complete the registration forms accurately. Make sure to include all required information and double-check for any errors.
05
Submit the completed forms as instructed by the Hawaii tobacco quitline. This may involve mailing them or submitting them online.
06
Wait for confirmation from the quitline that your registration has been successfully processed. They may provide you with further instructions or resources at this stage.
07
Begin utilizing the services and support provided by the Hawaii tobacco quitline to help you quit smoking and remain smoke-free.
Who needs the Hawaii tobacco quitline:
01
Individuals who are currently smoking and want to quit.
02
People who have tried to quit smoking before but have been unsuccessful and are looking for additional support.
03
Those who are seeking access to counseling, nicotine replacement therapy, or other resources to aid in their quitting journey.
04
Individuals who would like guidance and assistance from trained professionals in creating a personalized quitting plan.
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Anyone who wants to take advantage of the free services and support offered by the Hawaii tobacco quitline to improve their overall health and well-being.
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What is hawaii tobacco quitline?
The Hawaii Tobacco Quitline is a toll-free telephone service that provides counseling and support to help people quit smoking and the use of tobacco products.
Who is required to file hawaii tobacco quitline?
Healthcare providers and organizations that offer tobacco cessation services are required to report data to the Hawaii Tobacco Quitline.
How to fill out hawaii tobacco quitline?
To fill out the Hawaii Tobacco Quitline, providers and organizations must submit reports online through the designated website or portal.
What is the purpose of hawaii tobacco quitline?
The purpose of the Hawaii Tobacco Quitline is to help reduce tobacco use by providing resources, counseling, and support to individuals who want to quit smoking.
What information must be reported on hawaii tobacco quitline?
Providers and organizations must report data on the number of patients referred to the quitline, the type of services provided, and the outcomes of the tobacco cessation efforts.
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