Providing assistance to help patients quit tobacco use is a proactive, preventive step that can help decrease time spent on tobacco-related illness later. Helping your patients to quit tobacco is made easier by using the tools below:

Materials for Your Office

Tobacco use screening tools:

• Conversation starter questionnaire and strategies to quit (for youth, adolescent and adult patients)
• Conversation starter questionnaire and strategies to quit (for pregnant patients)
• Conversation starter questionnaire and strategies to quit (for postpartum patients)

Tools & Plans:

• Tobacco Treatment Standard of Care
• STAR Quit Plan
• STAR Quit Plan for Pregnant Women
• NRT pharmacotherapy chart
• Customizable pocket 5As 
• Readiness Ruler
• QuitlineNC Prescription
• QuitlineNC Prescription (Spanish)
• Materials for Pregnant and Postpartum Patients
• Fax Referral form (English)
• Fax Referral form (Español)

QuitlineNC:

• Tobacco Free Families Brochure
• Tobacco Free Families Brochure (Spanish)
• QuitlineNC Brochure
• QuitlineNC Brochure (Spanish)
• Quitline Brochure Behavioral Health Clients
• Quitline Brochure Behavioral Health Clients - Spanish
• Business cards (English)
• Business cards (Español)
• QuitlineNC Pregnancy Brochure
• QuitlineNC Flyer Poster (8.5"x11")
• QuitlineNC Flyer Poster (Spanish)
• QuitlineNC Flyer Poster (Pregnant)
• QuitlineNC Flyer Poster (Text_to_Enroll)

Resources

• Information for Practitioners on Electronic Cigarettes from  the American Academy of Pediatrics Richmond Center
• You Quit, Two Quit Tobacco Cessation Practice Bulletin
• Medication Assistance
• Links and Additional Information