Smokefree referral

Welcome to the Smokefree zone! Here you can complete our Smokefree Referral form which will take you on your smoke free journey. Once you have submitted the form below, our Service Delivery Team will be in touch with you via email within 3-5 working days to provide you with an update on the progress of your referral and next steps.

Don’t forget, if you are interested in speaking to one of our Smokefree advisors on our Health Van, you can find the dates and locations here .

Step 1 of 2

Smokefree referral

Are you happy to continue with the form and be referred into the Stop Smoking Service by our team?