Smoking Review

If you have been advised by the surgery to submit a smoking review on a regular basis please use this form.

Smoking Review

Smoking Review

About You

Please use this date format: DD/MM/YYYY.
If you don't provide an email address we won't be able to respond to you by email

Smoking Review

Do not currently smoke section

Do currently smoke section

Smoking leads to health problems such as cancer, heart disease and strokes. The benefits of stopping smoking include: better health, more money and cleaner air for those around you!

Do you want to stop smoking? Here is some advice on ways to quit smoking, local services and general tips: www.nhs.uk/smokefree.

Also visit www.stopforlifeoxon.org or telephone 0800 122 3790 for advice and support to help quit smoking.

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