Resources and Materials for Your Practice

Helpful Links Library

Resource Materials

Tobacco use screening tools

Preview Image	Download Link and Resource Description
	Tobacco Use Screening & Documentation Form for General Population (PDF)
	Secondhand Smoke and Vape Screening Questions (PDF)
	Tobacco Use & Secondhand Smoke in Your Daily Environment Screening Questions (PDF)
	Pregnancy Tobacco Use Screening & Documentation Form (PDF)
	Postpartum Structured Ask & Secondhand Smoke Screener (PDF)
	Postpartum Tobacco Use Screening & Documentation Form (PDF)
	Readiness Ruler (PDF)
	Lung Cancer Screening Decision Support (PDF)

Practice Integration Materials

Preview Image	Download Link and Resource Description
	QuitlineNC Summary of Services (PDF)
	QuitlineNC Electronic Health Record (EHS) Integration (PDF)
	North Carolina Tobacco Treatment Standard of Care (PDF)
	Quitline NC Fax Referral (English) (PDF) Quitline NC Fax Referral (Spanish) (PDF)

Additional Materials

Preview Image	Download Link and Resource Description
	STAR Quit Plan (PDF) STAR Quit Plan for Pregnant Women (PDF)
	QuitlineNC Prescription to Stop Smoking (English) (PDF) QuitlineNC Prescription to Stop Smoking (Spanish) (PDF)
	QuitlineNC Behavioral Health Program (PDF)
	Pharmacotherapy Reference Guide for Tobacco Dependence (PDF)
	Nicotine Replacement Therapy Factsheet (English) (PDF) Nicotine Replacement Therapy Factsheet (Spanish) (PDF)

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