Refer your clientsto QuitNow, and we'll take it from there. Your patient will receive a call or email within a matter of days, and our professional Quit Coaches will walk them through everything they need to know.
There are two ways to refer your clients to QuitNow:
- Use our online referal form. In order to get set up with your own access, contact us at with subject line "Referral Form".
- Download our quit smoking service fax referral form
*Order pads of 25 Referral Forms here. We ship them to you for free.