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Referral for Stop Smoking Supporters form must be fully completed & returned to us by post or fax or email:Post:BREATHE Stop Smoking Servicemen: 0203 633 2609 Oasis Camden, fax: 0203 727 0734 8587
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How to fill out referral for stop smoking

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How to fill out referral for stop smoking

01
Start by accessing the referral form for stop smoking. This can usually be found on the official website of the stop smoking program or organization.
02
Fill in your personal information, such as your name, contact details, and date of birth.
03
Provide information about your smoking habits, including the number of cigarettes you smoke per day, how long you have been smoking, and any previous attempts to quit smoking.
04
Answer any additional questions or provide any other relevant information requested on the form.
05
If applicable, have your healthcare provider fill out their section of the referral form, including their contact information and any additional comments or recommendations.
06
Review the completed referral form to ensure all information is accurate and complete.
07
Submit the referral form according to the instructions provided. This may involve mailing the form or submitting it online.
08
Wait for confirmation or further instructions from the stop smoking program or organization regarding your referral.

Who needs referral for stop smoking?

01
Anyone who is looking to quit smoking can benefit from a referral for stop smoking.
02
This may include individuals who have tried to quit smoking on their own but have been unsuccessful, or those who are seeking additional support and resources to aid in their efforts to quit smoking.
03
A referral for stop smoking can also be beneficial for individuals with underlying health conditions that may be exacerbated by smoking, or for those who have been advised by their healthcare provider to quit smoking for medical reasons.
04
Ultimately, anyone who is motivated to quit smoking and is interested in accessing the resources and support offered by a stop smoking program or organization can benefit from a referral.

What is Referral for Stop Smoking Support - gps camdenccg nhs Form?

The Referral for Stop Smoking Support - gps camdenccg nhs is a fillable form in MS Word extension needed to be submitted to the relevant address in order to provide certain information. It needs to be filled-out and signed, which may be done in hard copy, or via a particular solution like PDFfiller. This tool lets you complete any PDF or Word document directly from your browser (no software requred), customize it depending on your requirements and put a legally-binding electronic signature. Once after completion, you can easily send the Referral for Stop Smoking Support - gps camdenccg nhs to the relevant recipient, or multiple recipients via email or fax. The editable template is printable too because of PDFfiller feature and options presented for printing out adjustment. Both in digital and in hard copy, your form should have a neat and professional appearance. You can also turn it into a template for further use, without creating a new file from the beginning. All you need to do is to edit the ready template.

Referral for Stop Smoking Support - gps camdenccg nhs template instructions

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Referral for stop smoking is a form or document used to recommend or request assistance for individuals who want to quit smoking.
Healthcare providers, counselors, or employers may file a referral for stop smoking on behalf of individuals who want to quit smoking.
The referral form typically requires information about the individual's smoking habits, health history, and reasons for wanting to quit. It may also include contact information for follow-up support.
The purpose of referral for stop smoking is to connect individuals who want to quit smoking with resources and support to help them successfully quit.
The referral form may require information such as the individual's smoking history, health conditions, reasons for quitting, and any previous quit attempts.
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