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When referring clients and patients to the Quitline, you will be pleased to know more than two thirds (75%) of smokers had made at least one attempt to stop smoking since speaking with Quitline. A recent Quitline survey also showed that 95% of clients had felt encouraged by the service to quit or ‘stay quit’, and 88% felt that the information provided by Quitline was relevant to their needs.

To refer a client/patient to Quitline please complete the form below and click the submit button, or you can download the ‘Fax Referral’ form below.

If you experience any difficulty with this facility please contact our office on (03) 6169 1943 or

Once the referral has been received, a specialist Quitline counsellor will contact your referred client back at an agreed time within the next week to provide information, support and advice on smoking cessation.

Resource Documents
Referring organisation
Client details
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