NSW Quitline Online Referral Form

The Cancer Institute NSW and NSW Quitline are thrilled to announce the launch of the NSW Quitline Online Referral Form – it is secure, and easier for all health professionals to refer clients to the NSW Quitline for support to stop smoking.

To ensure easy access save the online form in your web browser favourites. The Health Professional Referral Fax form remains a referral option.

The NSW Quitline will continue to provide faxed feedback to health professionals on their clients if the health professionals contact details are provided and with client consent. The completed online referral form can also be downloaded and attached to client record for ongoing follow up.

Clients can also request a NSW Quitline call back via iCanQuit or contact the NSW Quitline directly on 13 7848.