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You are encouraged to refer patients to Quitline

Quitline provides a range of services from one contact call through to tailored programs that combine multiple calls with the provision of free nicotine replacement therapy (for some programs, an eligibility criteria will apply).

Quitline is available 7 days a week from 8am until 9pm. You can refer a patient to Quitline via the Quitline Referral Form.

Client details

Call details

Please select from the dropdown menu below which times best suit for us to call.

Health issues

Optional questions

Referrer details

Health practitioner declaration

I have given the patient a verbal explanation of the Quitline service and informed them that their personal information will be provided to the Department of Health, including their health information, for the purpose of referring them to the Quitline service.

I have also informed the patient that the Department of Health will contact them direct in relation to their referral and seek consent regarding participation in Quitline and any disclosure of their personal information to third parties.

I have provided the patient with a copy of the Quitline Brochure which provides further information on how their personal information will be handled by the Department of Health and how they can seek access to their personal information.

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