COMMIT Tobacco Free Coalition
3536 18th Ave SW * Cedar Rapids, IA 52404  *  319.390.1884 x 212
Forms & Resources
CONTENTS

Index

About the Coalition


Coalition Events

Quit Smoking

Smoke Free Dining Guide

Tobacco Free Policy


Forms & Resources

Contact Us
Top 10 Reasons to Go Smoke Free (restaurant)
Print off this fact sheet and share it with the restaurant owner! (word format)

Linn County Cessation Guide
Print off this
guide to find out all of the cessation services available to help you or a loved one quit smoking. (.pdf format)  Please note, our Wednesday classes have been moved to 5:30-6:30 p.m.

Medicaid NRT Prior Authorization Form
Medical Professionals: Print this
form off to complete for a medicaid patient interested in quitting smoking.

Workplace Guide
Print off this guide to see how easy it is to implement a tobacco free policy at your workplace with the help of COMMIT Tobacco Free Coalition.

Inkind Form
Please complete and submit this form each month for the work you have done related to tobacco control! This form shows the state that the local community is working on tobacco control efforts.
Join Our Mailing List
Name:
Email:
Working Together Towards a Tobacco Free Community.
Phone:
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