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.

How to explain Nicotine Replacement Therapy use to your patients

A pharmacist explains using NRT to a customer in this 9 min. video.

Quitting Smoking is a Journey

In this twelve-minute video, Dr. Mike Evans explores what works and what doesn’t work when thinking about quitting smoking.

American College of CHEST Physicians Tobacco Dependence Treatment Toolkit

Help your patients stop smoking and be reimbursed using the protocols and coding information contained in the comprehensive toolkit.

Patient Referral Forms

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

QuestionnaireTobacco 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)

PharmacotherapyQuick 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)

Helpline PosterNH 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 FactsheetQuitWorks-NH Fact Sheet

An overview of QuitWorks-NH.

Download the fact sheet (PDF, 67 KB)

Rack CardRack Card

Download the card (PDF, 1.2 MB)

Refer Your Patients to a Quit Coach

Submit a Provider Web Referral or E-Referral through the EMR.
Choose the most convenient method for YOUR practice!