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UHA Tobacco Referral System
1.
Do you have quit promotional materials, like brochures or fliers, available in exam rooms?
Yes
No
If yes, please specify the types of promotional materials.
2.
Are you interested in receiving a supply of brochures or flyers to have available in your clinic exam rooms?
Yes
No
If yes, how many exam rooms do you have?
3.
What is your current process for referrals when the patient has expressed interest in quitting ?
Distribute educational materials
Refer patients to the “Quit for Life” Program
Other (please specify)
4.
What systems do you have in place to make sure tobacco use is addressed at patient visits?
Tobacco use status as part of vital signs
Registry of patients who use tobacco
Other (please specify)
Current Progress,
0 of 4 answered