Referral form

If you would like to access stop smoking support, please complete the form below and we will contact you.

Please note that we can only take referrals from residents of Stockton-on-Tees Borough Council.

If you are a resident of Hartlepool or a surrounding area, please see the contact section on our main page for details on how to access stop smoking services.

    *Please note that every effort will be made to contact you at your preferred time but that there may be occasions when this is not possible. Thank you.
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