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NAME ADDRESS ADDRESS ADDRESS POSTCODE Date Dear Pharmacist, Client: D.O.B: Contact Details: Has attended a stop smoking follow up and is smoke free, please review their PGD assessment. Please contact the office on 01706 751190 if you require any further assistance. Kind RegardsLiving Well is being delivered by a partnership between the Big Life group, Link4Life, Rochdale & District Mind and Early Break LivingWell00126 (v2) August 17

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Begin by locating the 'Has Attended a Stop' section of the form.

02

Clearly write the name of the event or stop.

03

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04

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05

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Who needs has attended a stop?

01

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03

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