With patient consent, mental health or medical providers can directly enroll patients to the QUIT-NOW free support for quitting nicotine using the following forms:
Email Referral Process QUIT-NOW
Fax-Referal-Form QUIT NOW
NM-Spanish-Fax-Referral-Form QUIT NOW
People are more likely to quit commercial tobacco/nicotine with the support of their healthcare provider. Direct enrollment removes barriers to help people who want to quit.