For Health Professionals
Tobacco control staff want to thank health professionals for their work to help educate Vermonters about tobacco use, prevention and cessation. In addition to speaking to youth (and their parents) about the dangers of smoking, health professional are instrumental in referring smokers to quitting resources around the state.
Quit Line Fax Referral
In order to make it easier to refer smokers to the Quit Line (and local hospital cessation programs), a fax referral form was created. Once faxed out, the smoker will receive a call to set up their phone or local coaching at a time that is convenient for them.
This form can be downloaded in PDF format and as a digital form that allows you to fill in your office information, or printed copies are available.
- Fax Referral (pdf)
- Fill-in Fax Referral Form (pdf)
- Email your request for printed forms
Chronic Disease Fact Sheets
You can download or request printed copies of several fact sheets that show how tobacco causes or worsens the health problems of those people dealing with chronic diseases.
**All documents in pdf format.
- Asthma, Smoking and Lung Health
- Your Heart Health and Smoking
- General Health and Smoking
- Womens Health and Smoking
- Diabetes, Smoking, and Your Patient
Office of the Surgeon General - Reports
- Women and Smoking
- The Health Consequences of Involuntary Exposure to Tobacco Smoke
- Office of the Surgeon General website
Email your request for printed forms of the chronic disease fact sheets.