Smoke Free for Me Resources

A. Screening Tool Instruction Sheet

B. Data Submission – Fax/Scan Cover Sheet

  1. Data Submission Link: Click Here
  2. Data Submission Fax Number: 614-366-1556

C. Sample Screening Tool/Data Sheet

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
  6. Ohio Quit Line Brochure
  7. Stage of Change Talking Points

E. QI Resources

F. Learning Session

G. Action Period Presentations