Refer-To-Quit Online
We do the rest!

  1. Register here - contact quitsite@roswellpark.org
  2. Log-in to our secure Refer-To-Quit online form
  3. Refer your patients
  4. Check the status of your patients

Refer-To-Quit Online

The New York State Smokers’ Quitline Provider Referral Program

Step 1 - Register for the program

The Refer-To-Quit Online program is secure and easy

To register, please email the New York State Smokers' Quitline;
quitsite@roswellpark.org.

Step 2 - Refer your patients

Sample Refer-To-Quit login

Refer-to-Quit log-in

1. Once registered, you will receive log-in information and link to a secure referral portal where you will refer your tobacco-using patients into New York State Smokers’ Quitline services.

Sample Refer-To-Quit Online Screen

Refer-to-Quit log-in

2. Referrer completes form with information on tobacco user and verification of consent for the Quitline to contact. (See referral form)


3. Once referral is made, the client receives a call from a Quitline Quit Coach who will provide tailored coaching and screen for NRT eligibility.


4. If the Quit Coach is unable to reach the client by telephone after 5 attempts, a letter is sent encouraging the individual to contact the Quitline for assistance.


5. Eligible clients (regardless of their insurance coverage) are sent a 2‐week supply of NRT (patches) in the mail.
 
 
Call us: 1-866-NY-QUITS (1-866-697-8487) or Click to Quit - Call Hours: Mon-Thurs 9 a.m. - 9 p.m., Fri, Sat and Sun 9 a.m. - 5 p.m.
Taped message library and tip of the day - 24 hours /7 days Deaf, Hard of Hearing and Speech Disabled: Call the NY Relay Service at
7-1-1 (Voice or TTY), give the operator the Quitline number. All rights reserved © Roswell Park Cancer Institute • Privacy Policy