QuitWorks provides tools to prompt staff to ask every patient about
tobacco use. All tools are for use by any provider in any clinical setting.
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Patient Enrollment FormsQuitWorks provides customized enrollment forms to hospitals and health centers free of charge. Read more... |
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Vital Sign Stamp & StickersThe QuitWorks Kit contains a self-inking vital sign stamp and a roll of vital signs stickers as a way to identify tobacco users. Download the order form: |
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Tobacco Use QuestionnaireThis 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: English (PDF, 42 kb) |
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Pharmacotherapy Dosing GuideThis guide walks you through the easy steps to identify which of your patients should use pharmacotherapy, what types are appropriate and the medical contraindications. Download: English (PDF, 198 kb) |
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Pocket GuideThis is a quick guide to pharmacotherapy in tobacco treatment. It also lists the 5As to tobacco intervention. Download: English (PDF, 115 kb) |
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QuitWorks PosterThis poster reads: "TWO DAYS: That's all it takes for your taste buds to get better, once you quit smoking. You know quitting is better for you. Now there's a better way to do it: QuitWorks. Ask your doctor today how the program can work for you or call 1-800-TRY-TO-STOP." Download the order form: PDF (52 kb) |
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QuitWorks Button"Ask me about QuitWorks if you want to quit smoking" buttons can be worn anywhere to help prompt your patients to inquire about QuitWorks. Download the order form: PDF (52 kb) |
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QuitWorks Table Tents"Quitworks. A fresh approach to quitting cigarettes" two-sided foldout can be placed anywhere in your practice. Download the order form: PDF (52 kb) |
NOTE: Adobe Acrobat Reader is required to view or print these documents. It can be downloaded for free from www.adobe.com.
www.trytostop.org