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Este formulario es para que los sitios se registren para hacer referencias a QuitlineNC. La información contenida en el formulario es necesaria para asegurar la recuperación de datos precisos sobre

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How to fill out quitlinenc referral site registration

01

Visit the QuitlineNC referral site registration page.

02

Locate the registration form on the page.

03

Fill in your personal information, including your name, email address, and phone number.

04

Provide any relevant details about your smoking status or reason for referral.

05

Review the information for accuracy.

06

Submit the form to complete your registration.

07

Check your email for a confirmation message following your submission.

Who needs quitlinenc referral site registration?

01

Individuals looking to quit smoking or using tobacco products.

02

Health care providers seeking to refer patients.

03

Organizations aiming to support smoking cessation efforts.

04

Support groups working with individuals trying to quit.

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What is quitlinenc referral site registration?

Quitlinenc referral site registration is a formal process for individuals or entities to register a site that refers clients or patients to addiction treatment services in North Carolina.

Who is required to file quitlinenc referral site registration?

Any individual or organization that operates a referral site for substance use disorder treatment services in North Carolina must file a quitlinenc referral site registration.

How to fill out quitlinenc referral site registration?

To fill out the quitlinenc referral site registration, applicants need to complete the designated registration form, providing necessary information about their organization and referral processes, and submit it to the appropriate state authority.

What is the purpose of quitlinenc referral site registration?

The purpose of the quitlinenc referral site registration is to ensure that all referral sites meet regulatory standards and provide accountability in referring individuals to substance use treatment services.

What information must be reported on quitlinenc referral site registration?

The registration must report specific information such as the name and address of the referral site, the services offered, the qualifications of staff, and the procedures in place for referring clients to treatment programs.

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