Resources and Materials for Your Practice

Helpful Links Library

Resource Materials

Tab/Accordion Items

Preview ImageDownload Link and Resource Description
Preview image of QuitlineNC Tobacco Use Screening and Documentation form for the General Population
Preview image of QuitlineNC screening form for Secondhand Smoke and Vape Screening Questions
Preview image of QuitlineNC screening form for Tobacco Use and Secondhand smoke in your daily environment
Preview image of QuitlineNC Pregnancy Tobacco Use Screening & Documentation Form
Preview Image of the Postpartum Structured Ask & Secondhand Smoke Screener
Preview image Postpartum Tobacco Use Screening & Documentation Form
Preview image of the readiness ruler to help determine if someone is ready to stop using tobacco

Preview ImageDownload Link and Resource Description
Preview image of Quitline NC's summary of services for providers
Preview image of Quitline NC's Electronic Health Record (EHS) Integration
Preview image of a flyer explaining how a healthcare practice can become a Quitline NC referral site
Preview image of the standard of care in North Carolina for tobacco cessation treatment

 

Preview image of the Quitline NC fax referral form in English

Preview ImageDownload Link and Resource Description
Preview image of a form to make a STAR quit plan
Preview image of a printout Prescription to quit smoking in English
Preview image of Quitline NC's behavioral health program
Preview image of a chart with pharmacotherapy information in English
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