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QUITS REFERRALDEPARTMENT OF HEALTH AND HUMAN SERVICES TOBACCO PREVENTION AND CONTROL SON 59499 (92022)Please fax to Quit 18559978487 (185599 QUITS) REFERRING PROVIDER INFORMATION (print clearly) Feedback

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How to fill out ndquits referral department of

01

Obtain the NDQuits referral form from the appropriate department.

02

Fill out all required fields on the form, including the patient's personal information and reason for referral.

03

Submit the completed form to the NDQuits referral department either in person, by mail, or through electronic submission.

Who needs ndquits referral department of?

01

Individuals who are looking to quit smoking or using tobacco products and require support and resources from NDQuits.

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What is ndquits referral department of?

Ndquits referral department is a service that helps individuals quit smoking and provides resources and support to help them succeed in their journey to a smoke-free life.

Who is required to file ndquits referral department of?

Anyone who wants to quit smoking and is seeking assistance and support to achieve their goal can file with ndquits referral department.

How to fill out ndquits referral department of?

To fill out ndquits referral department, individuals can visit the ndquits website or contact the ndquits hotline to get started on the process of quitting smoking.

What is the purpose of ndquits referral department of?

The purpose of ndquits referral department is to provide tools, resources, and support to individuals who are looking to quit smoking and improve their health and well-being.

What information must be reported on ndquits referral department of?

The information that must be reported on ndquits referral department includes personal details, smoking history, current smoking habits, reasons for quitting, and any challenges or concerns related to quitting.

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