Referral Toolbox

Healthcare providers (physicians, nurses, nurse practitioners, clerks, and others) play an important role in influencing smokers’ willingness to quit attempt. The following are tools that should be used by all healthcare providers when treating patients that use tobacco.

Guide to Quit Smoking / Hooked on Tobacco Flyer
The Guide to Quit Smoking flyer provides brief advice to people who are interested in information on how to quit tobacco use on their own. To print the Guide to Quit Smoking / Hooked on Tobacco flyer, click here.

Referral Forms
In-patient
To refer an in-patient, click here.

Out-patient
To refer an out-patient, click here.

Quit-line
To refer a patient to the Quit-line, click here.

Quit-line Card
The Quit-line card is convenient, easy to carry, and provides information on the Louisiana tobacco quit-line. The Quit-line, at 1-800-QUIT-NOW, provides free and confidential cessation advice to support Louisiana residents, ages 15 and older, who are ready to quit smoking.
Certified counselors are available to help callers kick the habit and improve their quality of life. To print the Quit-line card, click here.

Medication Prescribing Information
Use of quit smoking aids are recommended for all tobacco users except in the presence of a medical contraindication. To view a summary table of quit smoking aids including dosages, side
effects, advantages and disadvantages, click here. Additionally, for a table that summarizes health insurance coverage of quit smoking aids, click here.

Note: While some medications can be effective alone, both pharmacotherapy and counseling can produce higher abstinence rates (Fiore MC, Bailey WC, Cohen SJ, et al. Treating Tobacco Use
and Dependence. Clinical Practice Guideline. Rockville, MD: U.S. Department of Health and Human Services. Public Health Service. June 2000; 71). Group and individual behavioral counseling is available through TCI and the Quit-line. TCI provides face-to-face tobacco
cessation services, and referral to the Quit-line’s over-the-telephone services, to LSU HCSD and LSU-Shreveport patients, their employees and the communities they serve. For more information on these services, click here.