Smoking Cessation Resources for Healthcare Providers

Nearly 10% of Hamilton County moms report smoking during their 2nd and 3rd trimesters each year. Helping these moms quit is imperative for their health as well as the health of their baby. Below are resources to help you counsel and support moms on their journey to a smokefree lifestyle.

5As Tools

The 5As is an evidence-based clinical counseling intervention designed to help moms-to-be quit and stay smokefree. The tools below can help you and your organization deliver this best-practice approach to your patients.

 

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Ask Form

Download Form

 

Resources to Assist Your Patients

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You’re Invited to Quit Menu

Download Menu

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Quit Line Fax Referral Form

Download Form
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Quit Line Incentive Program

View Flier

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SmokeFreeMom Text Service

View Flier

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Self-Help Guide

Download Guide

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Self-Assessment Survey

Download Survey

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Quit Contract

Download Contract

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Smoking Myths

View Myths

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Counseling Referral – CHD

View Process

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Local Support Groups

Coming Soon

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Congratulatory Letter

Coming Soon

 

Additional Tools

 

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Medicaid Billing Codes

View Chart

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Queen City Smokefree Poster

View Poster

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Local Quitting Resources

Download Guide

Pregnancy Resources
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