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Kenneth J Kim PediatricsRegistration Date: Child's Name: Date of Birth: / / M/Child's Name: Date of Birth: / / M/Child's Name: Date of Birth: / / M/Child's Name: Date of Birth: / / M/Child's Name:
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What is state quitline referrals?
State quitline referrals are formal communications made to state-sponsored smoking cessation services, providing them information about individuals seeking help to quit smoking or using tobacco products.
Who is required to file state quitline referrals?
Healthcare providers, organizations involved in public health, and sometimes individuals may be required to file state quitline referrals depending on state regulations and protocols.
How to fill out state quitline referrals?
To fill out state quitline referrals, one needs to gather necessary patient information, complete a referral form usually provided by the state quitline, and submit it either electronically or by paper as specified by the quitline guidelines.
What is the purpose of state quitline referrals?
The purpose of state quitline referrals is to connect individuals who want to quit smoking or using tobacco with resources and support offered by state cessation programs, ultimately aiding in their efforts to quit.
What information must be reported on state quitline referrals?
Typically, information such as the individual's name, contact details, smoking history, readiness to quit, and any relevant health information must be reported on state quitline referrals.
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