Make a referral to Stop Smoking Support

Service access criteria

Tick to confirm you have checked the service access criteria "Barking and Dagenham Residents / People that work in Barking and Dagenham / age 12+ /pregnant or living with someone who is pregnant/diagnosed with mental health condition/long term condition , have COPD or living with someone with COPD, waiting for surgery/have a routine or manual occupation/ pregnant or post-natal Havering residents and their partners"

Your Details

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Additional referral details

Other:

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