Get the free Maine Tobacco Helpline Referral Form - Maine.gov
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Maine Tobacco Helpline Referral Form Date sent: /Please fax completed form to 6625102. /Information About Clinician Making Referral Practice/Hospital: Clinician Making Referral: Street Address: City:State:Phone:Zip:
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How to fill out maine tobacco helpline referral
How to fill out maine tobacco helpline referral
01
To fill out a Maine Tobacco Helpline referral, follow these steps:
02
Visit the Maine Tobacco Helpline website or call their toll-free number.
03
Provide your personal information such as your name, contact number, and email address.
04
Answer specific questions related to your tobacco use history, current habits, and goals.
05
Consult with a helpline counselor to assess your needs and discuss any additional support.
06
Review and confirm the information provided before submitting the referral form.
07
Receive follow-up communication from the helpline to guide you through the quitting process.
08
Utilize the resources and services offered by the Maine Tobacco Helpline to quit tobacco successfully.
Who needs maine tobacco helpline referral?
01
Anyone who wants to quit using tobacco or needs assistance in doing so can benefit from a Maine Tobacco Helpline referral.
02
Whether you are a smoker, chewer, or using any other form of tobacco, the helpline is designed to support all individuals looking to quit.
03
It is particularly helpful for those who have tried to quit before but need additional guidance and resources to succeed in their quit attempt.
04
Maine residents of all ages and backgrounds can request a referral to the helpline.
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