Quit Tobacco Referral FormAs a social service provider, you are a trusted resource for your clients who are asking about tobacco use. You can increase their odds of successfully quitting tobacco or vaping by providing a brief intervention and connecting clients to evidence-based tobacco treatment, like the Maine Tobacco HelpLine.
Please complete this form to connect your client to the Maine Tobacco HelpLine. They will receive a call from a Quit Coach with more information and have the opportunity to enroll in the free HelpLine counseling program.
Additional resources and support is available for providers: