Kick It Stop Smoking

Healthcare Professionals

This page is for health professionals and Kick-it partners. If you would like help to quit smoking, please visit the home page.

How to Refer a Patient

We aim to contact every referred client within two days, and have them booked in a clinic within five days. Clients usually have their first appointment in a week’s time. To refer your client, download our referral form and email it to: [email protected]

Download Referral Form
Hospital, happy and doctor with patient for consulting, medical service and medicine prescription. Healthcare, clinic and woman with person for insurance forms, diagnosis and medication documents

Client Self Referral

If your client prefers to refer themselves, you can send them the link for the self-referral form below.

Sign Up Form
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