Order Materials

Waiting Room Posters

Hang these in your waiting room to prompt patients to ask you about QUiTWORKS-RI. For hard copies of these posters (approx. 16″ by 11″) please email Dana McCants-Derisier or call her at 401-222-7625.

Good for You, Good for Your Baby

Target audience: Pregnant and post-partum women.

Download Good for You, Good for Baby Poster (PDF, 2.28 MB)

Good for You, Good for Your Family

Target audience: Parents, especially of younger children.

Download Good for You, Good for Your FamilyEnglish (PDF, 2.7 MB)

Good for You, Good for Your Family

Target audience: Parents, especially of younger children.

Download Good for You, Good for FamilySpanish (PDF, 2.68 MB)

What’s Your Reason to Quit?

Target audience: Ambivalent smokers who may be motivated to quit by another person’s experience with the downsides of smoking.

Download What’s Your Reason to Quit? (PDF, 2.46 MB)

Patient Handouts

Patient Brochures

Tells patients what to expect from QUiTWORKS-RI. Particularly useful as a handout for patients who may not yet be ready to quit or enroll in QUiTWORKS-RI.

For hard copies of QUiTWORKS-RI brochures please email Dana McCants-Derisier or call her at 401-222-7625.

Download the Patient Brochures English (PDF, 181 KB) | Spanish (PDF, 211 KB)

Quick Guide to Pharmacotherapy in Tobacco Treatment

Provides information about dosing and treatment duration for each of the seven FDA-approved quit smoking medications. Available in download only.

Download: Laminated Pharmacotherapy Card (PDF, 57 KB)

Note: All major insurers in Rhode Island provide some coverage of tobacco pharmacotherapy– check with individual insurers to find out what co-pays or other terms exist.

Download Pharmo Guide

Pharmacotherapy Dosing Guide

This guide walks you through the easy steps to identify which of your patients should use pharmacotherapy, what types are appropriate and the medical contraindications. Available in download only.

Download: Pharmacotherapy Dosing Guide (PDF, 81 KB)

Tobacco Use Questionnaire

This simple questionnaire provides needed information on tobacco use and on whether the patient is thinking about quitting. It is administered when the patient checks in. Available in download only.

Download the Tobacco Use Questionaire (PDF, 26 KB)

QUiTWORKS-RI At-A-Glance Handout

One page fact sheet that describes basic QUiTWORKS-RI services and how it works. Available in download only.

Download: QUiTWORKS-RI At-A-Glance Handout (PDF, 51 KB)

QUiTWORKS-RI Enrollment Form

Use a generic enrollment form in Spanish or English to fax a referral to QuitWorks-RI.  Some institutions have customized forms that include their logo and special information. Contact QuitWorks-RI at 1-800-QUITNOW (1-800-784-8669) for a customized form. Available in download only.

Download: QUiTWORKS-RI Enrollment FormEnglish (PDF, 275 KB) | QUiTWORKS-RI Enrollment FormSpanish (PDF, 150 KB)

 

Videos

 Not Gaining Weight and Quitting Smoking video screenshot

(Not) Gaining Weight and Quitting Smoking

Video with tips to manage your weight while quitting tobacco.

Watch the video on YouTube (4 mins)

 Quitting Smoking Dealing with Family & Friends video screenshot

Quitting Smoking Dealing with Family & Friends

Video about how to create support around you from family, friends and co-workers.

Watch the video on YouTube (3 mins)

Quitting Smoking for Two:  Practical Plans and Tools video screenshot

Quitting Smoking for Two: Practical Plans and Tools

Video about risks of tobacco use during pregnancy and practical tips for quitting.

Watch the video  on YouTube (5 mins)

 

Additional Resources

 QW Implementation Guide Cover

QUiTWORKS-RI Implementation Guide

Step-by-step guide to implement this simple referral process in your healthcare setting. Available in download only.

Download the QUiTWORKS-RI Implementation Guide (PDF, 70 KB)

QW workflow recommendations cover

Workflow Recommendations – QUiTWORKS-RI Referrals

A detailed step-by-step referral and documentation workflow using the team-care model. Available in download only.

Download the QUiTWORKS-RI Workflow Recommendations (PDF, 76 KB)