The free Quit Now Preferred Provider Program- developed by Indiana Tobacco Prevention and Cessation (ITPC)- gives healthcare providers proven, professional resources to help patients/clients kick their addiction to tobacco.
As a Preferred Health Care Provider with the Quit Now Referral Network, you will receive exclusive tobacco cessation services and materials, including:
Your patients look to you for direction about their individual health issues. Your help and guidance can give them the power to curb their tobacco addiction. For patients who are ready to quit using tobacco, fax referring them to the Indiana Tobacco Quitline is the right first step.
The fax referral system is quick & efficient:
Enroll today and begin referring patients to the Indiana Tobacco Quitline immediately.
Enrollment as a Quit Now Preferred Provider is quick and simple. There is no charge for this service.
To download a PDF of the enrollment form and fax your information to 317-234-1786, click here.
To complete the on-line enrollment form, please complete the registration below and submit your information.
We look forward to working with you.