Referral program
We make referring your patients to QuitNow's free quit smoking services easy.
Getting patients help takes 3 simple steps
- Download our quit smoking service fax referral form*
- Review and sign it together with your patient.
- Fax it to us and we'll follow up with your patient and get back to you to summarize the quit smoking services provided to your patient.
*Order pads of 25 Referral Forms here. We ship them to you free.
What does QuitNow do for your patient?
A trained quit expert will call your patient to assess their readiness to quit smoking. Patients will be made aware of our quit smoking support services to:
- Help them develop a personalized quit smoking plan
- Assist them in learning new skills and behaviours
- Provide them with information about quit medication options





