Clinician Resource Order Form

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Free Resources available to Scott & White Clinicians

Enuff of the Puff, Scott & White Wellness Department, has resources available to you to help your patients quit tobacco. Scott & White clinicians and supervisors can order free copies of a pocket guide for clinicians to use and help your patients quit smoking, the NCI's Clearing the Air booklet to distribute to all of your patients who smoke, and Enuff of the Puff posters to advertise tobacco cessation resources to your patients.

Order Today!

Thanks for helping our community become tobacco-free!

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Name*:
Department*:
Location of Department*: (ex: 3rd Floor OB/Gyn or 3a)
E-mail* (ex: jdoe@swmail.sw.org):
Date Submitted:
Phone*:
Materials Requested
Helping your Patients Quit Tobacco - A pocket guide for Clinicians Quantity
National Cancer Institute's Clearing the Air - Quit Smoking Booklet Quantity
Enuff of the Puff posters (12" x 18") Quantity
Additional Information/Comments

Scott & White • 2401 S. 31st St. • Temple, TX  76508
• 254-724-2111 • 800-792-3710 • 254-724-3038 (TTY)
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