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Tobacco cessation
Use these tools to help improve quality of care and educate your patients.
Click on an underlined name to download the file.
Tobacco cessation
Clinical practice guidelines
Tobacco control
(142KB PDF)
Recommends specific interventions for cessation services
Updated 12/2011
Practice management
Tobacco use/exposure sticker (large)
(43KB PDF)
Helps you assess, assist and advise patients who use tobacco
Updated 07/2005
Tobacco use/exposure sticker (small)
(37KB PDF)
Helps you document patients' tobacco use
Updated 07/2005
Tobacco cessation flow sheet (adult & adolescent)
(41KB PDF)
Use this flow sheet to monitor and track tobacco use and tobacco cessation assistance for adult and adolescent patients.
Updated 11/2004
Tobacco cessation flow sheet (under 12 years)
(41KB PDF)
Use this flow sheet to monitor and track tobacco use and tobacco cessation assistance for those who live in the same household as patients under 12 years of age.
Updated 11/2004
Nicotine replacement therapy comparison chart
(74KB PDF)
View product information, common side effects, dosage and what Priority Health covers
Updated 10/2008
Medicaid patients only:
Michigan Tobacco Quitline fax referral form
(43KB PDF)
Michigan Tobacco Quitline fax referral form instructions
(16KB PDF)
Use this Michigan Tobacco Quitline fax referral form and instructions from the state of Michigan.
Patient education
Tobacco cessation pocket card
(59KB PDF)
Keep these ideas handy as a reference guide for tobacco use risk factors for children and as a tool to guiding your patients to becoming smoke-free.
Updated 11/2004
Diabetes, Smoking and Your Health
handout (60KB PDF)
Explains the effect of smoking on different parts of the body, especially for people at risk of, or who have, diabetes. Prepared by the Michigan Tobacco Quitline program.
Updated 3/2009
Case management
Refer your patients to case management services: 616 481-9701
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Last modified: 2/14/2012
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