Welcome to the Smokers’ Helpline Online Referral System.
We have updated the look of this page, but don’t worry – it still functions exactly the same way. So please feel comfortable in proceeding to make your referral. If you have any questions, call the Helpline at 1-800-363-5864 or email email@example.com.
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.
If you have any issues, concerns or feedback about the Online Referral System then please let us know. Call 1-800-363-5864 or email firstname.lastname@example.org.