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CONFIDENTIALPharmacy Domiciliary Smoking Cessation Referral Form Please complete all sections highlighted in red and where possible provide additional information if known. Patients Registered GP:Patients
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How to fill out abl smoking cessation referral
How to fill out abl smoking cessation referral
01
Obtain the referral form for ABL smoking cessation program.
02
Fill out the client's name, contact information, smoking history, and reason for referral.
03
Provide any additional relevant information or notes about the client.
04
Submit the completed referral form to the appropriate contact or department.
Who needs abl smoking cessation referral?
01
Individuals who are looking to quit smoking and are seeking support and guidance to help them in their journey towards smoking cessation.
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What is abl smoking cessation referral?
ABL smoking cessation referral refers to the process of directing individuals who use tobacco products to resources and support systems that can help them quit smoking.
Who is required to file abl smoking cessation referral?
Individuals or entities that are involved in providing healthcare services and have contracts or agreements with organizations focused on tobacco control are typically required to file ABL smoking cessation referrals.
How to fill out abl smoking cessation referral?
To fill out an ABL smoking cessation referral, one must provide necessary patient information, the reason for the referral, preferred cessation method, and relevant healthcare provider details on the designated referral form.
What is the purpose of abl smoking cessation referral?
The purpose of the ABL smoking cessation referral is to improve public health by facilitating access to smoking cessation resources and support for individuals who wish to quit smoking.
What information must be reported on abl smoking cessation referral?
The information that must be reported includes the patient's identifying information, smoking history, proposed cessation aids, treatment plan, and any other relevant medical information.
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