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Provider Referrals & Resources

Refer patients and increase their quit success.

Healthcare provider speaking with patient

Fax Referral

  1. Download Referral Form
  2. Fax: (207) 662-5102
  3. Patient contacted within 24 business hours

e-Referral

  • Submit directly through your EHR system
  • Patient contacted within 24 business hours

What Your Patients Get

  • Up to 12 weeks free nicotine replacement (patches, gum, lozenges)
  • Personal quit coach via phone or online
  • Customized quit plan based on their tobacco use
  • 24/7 online support

No insurance needed. Completely confidential.

Healthcare provider speaking with patient

Ask: Screen all patients for tobacco/nicotine use

Advise: Provide clear, personalized advice

Refer: Connect patients to the Maine QuitLink’s treatment resources

Quit Now