| COMMIT Tobacco Free Coalition 3536 18th Ave SW * Cedar Rapids, IA 52404 * 319.390.1884 x 212 |
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| Forms & Resources | |||||||||||||||||||||||
| CONTENTS Index About the Coalition Coalition Events Quit Smoking Smoke Free Dining Guide Tobacco Free Policy Forms & Resources Contact Us |
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| 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. |
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