Smoke Free for Me Resources

A. Screening Tool Instruction Sheet

B. Data Submission – Cover Sheet

  1. Data Submission Link: Click Here

C. Sample Screening Tool/Data Sheet

  1. Please note your Site ID is pre-filled on the printed screening tools and not on this PDF.

D. Handout Crosswalk

  1. Provider Talking Points
  2. Families with Smoke Exposure
  3. Myths Resource Page
  4. Prescription for Safe Sleep 
  5. Ohio Quit Line Referral Form
    1. Ohio Quit Line Referral Portal Link
  6. Ohio Quit Line Brochure
  7. Stage of Change Talking Points

E. QI Resources

F. Learning Session

G. Wave 4 Action Period Presentations

H. Wave 3 Action Period Presentations