online referral system
Welcome to the Smokers' Helpline Online Referral System
This system provides a simple tool that healthcare providers (and others in the community) can use to connect individuals who smoke with Helpline services. We invite healthcare providers, employers, teachers and others working in the area of health promotion to proceed with entering the contact information for the individual you are referring.
When you submit a referral it will also be necessary to enter your contact information as well. We encourage you to create a Referral Account and this will save time since you will not be required to enter all of the required contact information each time you refer.
- Enter the contact information for your patient/client.
- It will also be necessary to indicate your name and contact information so the Smokers’ Helpline can identify where the referral is coming from.
- Once you are registered, you may log-in to the system which allows you to skip a step.
- You won’t have to enter your contact information each time you submit a referral.