Tools for Providers

QuitWorks-NH provides tools to prompt staff to ask every patient about tobacco use. All tools are for use by any provider in any clinical setting.

Patient Referral Forms

QuitWorks provides customized referral forms to hospitals and health centers free of charge. Read more...

Tobacco Use Questionnaire

This simple questionnaire provides needed information on tobacco use and on whether the patient is thinking about quitting. It is administered when the patient checks in.

Download the Questionnaire (PDF, 42 KB)

Quick Guide to Pharmacotherapy in Tobacco Treatment

This is a quick guide to pharmacotherapy in tobacco treatment. It also lists the 2As and R of tobacco intervention.

Download the Guide (PDF, 115 KB)

NH Tobacco Helpline Resource Poster for Exam Rooms

The poster links your patients to the free treatment services for nicotine addiction offered by the NH Tobacco Helpline.

Download the Poster (PDF, 70 KB)

QuitWorks-NH Fact Sheet

An overview of QuitWorks-NH.

Download the Fact Sheet (PDF, 67 KB)


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