Counseling Videos
Practice Bulletins
Provider Forms & Clinic Resources
- Prenatal Five As Intervention Record (FAIR Form)
- Postpartum Five As Intervention Record (FAIR Form)
- Non-Pregnant Five As Intervention Record (FAIR Form)
- QuitlineNC Fax Referral Form (English)
- QuitlineNC Fax Referral Form (Spanish)
- Sample Standing Orders
- Blueprint for Implementing Clinically-Based Tobacco Cessation Programs
- Tobacco Screening and Cessation Counseling Pocket Card
- ICD-10 Smoking-Cessation Billing and Diagnostic Counseling Codes
- LME-MCO Communication Bulletin #J148
- LME-MCO Communication Bulletin #J206
- Going Tobacco-Free Staff Guide for Substance Use Treatment Centers
- Quitline NC Referral Site Registration Form
Training
You Quit, Two Quit can provide free training on evidence-based tobacco use screening and cessation counseling for your practice. We can also provide assistance in integrating tobacco screening and treatment into your clinic’s work flow.
What’s Included?
You Quit, Two Quit is committed to helping you improve the health of the women and families you serve. Training (including contact hours) and assistance is provided at a location that is convenient for you and your staff completely free of charge. You Quit, Two Quit is approved by the North Carolina Nurses Association as a continuing nursing education activity worth 1.5 CEUs.
Training topics include:
- Evidence-based, best practice brief counseling intervention – the 5As
- Motivational interviewing techniques
- Up-to-date information on e-cigarettes and other electronic products
- Pharmacotherapy, including during pregnancy and lactation
- Billing and reimbursement, including CPT codes, reimbursement rates, and other FAQs
- Information about QuitlineNC and how to refer women to the service proactively
- How to access and use free tobacco cessation patient education materials
- How to help those who are not ready to quit – harm reduction and the 5Rs
Training Request
Patient Resources
