Referral programsReferring patients is simple
Nicotine Gum Giveaway - Help needed to get the word out!Learn more
Patient referral programs –Our patient referral program is designed to be an adjunct to healthcare providers' efforts to help their patients stop smoking. It ensures stop-smoking support is readily available to patients following their healthcare visit.
Direct referral options:
Online referral site
HIPPA-compliant and password-protected application for directly referring patients.
The site offers aggregated reporting and individual patient activity reports.
Healthcare providers have access to a health-site customized fax referral form to refer patients to the Quitline.
Faxed progress reports are sent twice per month.
Progress report (sample)
Enterprise solutions in Opt-to-Quit™
Our Opt-to-Quit™ referral program offers a healthcare system-wide solution that ensures every tobacco-using patient is offered a referral to the Quitline.
More than 750 healthcare sites throughout New York State use our successful Patient Referral Program.
Patient referrals can be electronically transferred and patient activity reports are available online.
For more information about Opt-to-Quit™ or any of our patient referral options, please contact us.
Program Highlight | Stony Brook Children's Hospital & Opt-to-Quit™
What to expect
We prepare your patients for success – Once you refer a patient, a Quit Coach will call your patient within 48 hours of receiving your referral and offer Quitline services.
Individualized coaching will help motivate a quit attempt, prepare for the quit process, and avoid future relapse.
Medication supply and coverage – Eligible patients will be offered a supply of nicotine replacement therapy (NRT). All patients will be advised to learn about their health plan cessation benefits, including stop-smoking medication coverage.
Patient Referral SuccessTHE BUFFALO NEWS – "A widow’s best advice to those who smoke? Quit."
Mary M. of West Seneca, NY – a smoker for nearly 50 years and recently diagnosed with COPD – is now living a smoke-free life, thanks to a referral by her healthcare provider to the New York State Smokers’ Quitline.
Learn more about — Mary’s story
Physician TestimonialDan Croft, MD, MPH, a member of the New York State Smokers’ Quitline Physician Task Force, explains the value of patient referral programs.
Learn more about — Our expert panel
To learn more about the program or to get started - Contact us
Last updated 8/13/2020 8:00 AM