Get the free nebraska tobacco quitline order form

N nebraska.gov Fax 402-471-6446 Mail Nebraska Tobacco Quitline 301 Centennial Mall S. P. O. Box 95026 Lincoln NE 68509-5026 Requests are only lled for Nebraska residents businesses or organiza ons. Breath Mint Tins Limit 25 Wrist Bands Limit 25 Stress Balls Limit 25 Ques ons Email dhhs. n nebraska.gov For more informa on www. Nebraska Tobacco Quitline Order Form Complete this form and send to one of the following Email dhhs. PLEASE PRINT OR TYPE Date Name of Organiza on Name of Person...

How to fill out nebraska tobacco quitline order

How to fill out nebraska tobacco quitline order

1. Step 1: Visit the Nebraska Tobacco Quitline website or call their toll-free number.
2. Step 2: Provide your personal information such as name, address, and contact details.
3. Step 3: Select the type of tobacco quitline order you need, such as nicotine replacement therapy or cessation counseling.
4. Step 4: Follow the instructions provided to complete the order form.
5. Step 5: Review your order details and make sure all information is accurate.
6. Step 6: Submit the order form and wait for confirmation of your request.
7. Step 7: Once your order is processed, you will receive the requested tobacco quitline products or services.

Who needs nebraska tobacco quitline order?

1. Individuals who are current tobacco users and want assistance in quitting.
2. Residents of Nebraska who are eligible for the Nebraska Tobacco Quitline services.
3. People who prefer to receive support and resources for quitting tobacco through the quitline program.

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What is nebraska tobacco quitline order?

Nebraska tobacco quitline order is a form used to request tobacco cessation materials and services from the Nebraska Tobacco Quitline.

Who is required to file nebraska tobacco quitline order?

Healthcare providers, employers, and individuals who want to access tobacco cessation resources are required to file nebraska tobacco quitline order.

How to fill out nebraska tobacco quitline order?

Nebraska tobacco quitline order can be filled out online on the Nebraska Department of Health and Human Services website or by calling the Nebraska Tobacco Quitline.

What is the purpose of nebraska tobacco quitline order?

The purpose of nebraska tobacco quitline order is to provide individuals with access to tobacco cessation resources and support to help them quit smoking or using tobacco products.

What information must be reported on nebraska tobacco quitline order?

Information such as personal contact details, tobacco use history, and preferences for cessation materials must be reported on nebraska tobacco quitline order.