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Tobacco Certification
2016 Certification of Tobacco Use
Name:Employee Number:Each Employee enrolled in the St. Dominic Group Health Plan (the Plan) who has used tobacco six months prior to the execution
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How to fill out quit for life tobacco

How to fill out quit for life tobacco
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Start by setting a quit date for when you will stop using tobacco.
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Educate yourself about the harmful effects of tobacco and the benefits of quitting.
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Stay committed to your quit plan and remind yourself of your reasons for quitting.
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Quit for Life Tobacco is a smoking cessation program that provides support and resources for individuals looking to quit using tobacco products.
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Individuals enrolled in the Quit for Life Tobacco program or those who have received benefits from state tobacco cessation services may be required to file.
How to fill out quit for life tobacco?
To fill out the Quit for Life Tobacco form, individuals typically need to provide personal information, details about their tobacco use, and any previous cessation attempts.
What is the purpose of quit for life tobacco?
The purpose of Quit for Life Tobacco is to help individuals quit tobacco use, reduce health risks, and improve overall well-being.
What information must be reported on quit for life tobacco?
Information that must be reported includes personal identification details, history of tobacco use, participation in cessation programs, and progress made towards quitting.
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