Quitline Referral Form

Using a service like Quitline can greatly increase a person’s chance of successfully quitting smoking.

Quitline is a confidential, non-judgmental telephone-based support and information service.  Our counsellors encourage and support people at all stages of their smoking journey; from the thinking stage to being ready to quit, right through to assisting those who have already quit or relapsed.

Our friendly team of qualified counsellors use an evidence-based approach and are trained in all areas of smoking cessation. The service is free.

To refer a patient or client to Quitline, simply complete the Referral Form below or download the Quitline Referral Form. Download

For further information email admin@quittas.org.au or phone (03) 6169 1943.

Quitline Referral

  • Referring organisation

  • Client Details

  • (eg: ATSI status, health concerns, pregnancy, etc)
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