Quit Tobacco Referral FormQuitting tobacco is often the most important thing a person can do for their future health. Advice and assistance from a provider remains a powerful tool in helping tobacco users quit. Clinical, behavioral health, and social service providers can increase a patient and client’s success in becoming tobacco-free by connecting them to proven resources. Tobacco users are 2-3 times more likely to quit with the support of the phone coaching than when they try it alone.
Get information and resources on referring to the Maine QuitLink through CTIMaine.org:
- Behavioral Health Providers
- Clinical Providers
- Social Service Providers
- Have questions? Call us at 1-800-QUIT NOW for more information about getting setup to refer tobacco users the Maine Quitlink services.
Social Service Providers can complete this form to connect your client to the Maine QuitLink. They will receive a call from a Quit Coach with more information and have the opportunity to enroll in the free counseling program. On July 31, 2020 this form will be moving to CTIMaine.org.