Clean Air for Healthy Children & Families : Section


		Patient Materials
		Practice Materials
		Calendar of Events
		Staff

Clean Air for Healthy Children and Families
PA Chapter AAP
Rose Tree Corporate Center II
1400 N. Providence Road
Suite 3007
Media, PA 19063

PH: 484-446-3002
Fax: 484-446-3255
800-375-5217 (PA Only)

E-mail
www.paaap.org

	PATIENT MATERIALS


	These materials can be used to assist you as you conduct a smoking cessation intervention with your patients. In addition to the pdf. format some of the materials listed below can also ordered from our program. Benefits Of Quitting Describes in time increments how your body begins to repair itself upon quitting smoking. Bright Ideas To Help You Quit Depending upon the individual's reasons for smoking this gives suggestions to assist in the quitting process. Certificate for Quitting For patients who have decided to quit smoking and commit to a healthier lifestyle. Congratulations Letter for Quitting Smoking - General Reinforce your general patient's decision to quit smoking with this letter that summarizes your reading recommendations, general advice and how to deal with cravings.
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	PRACTICE MATERIALS


	These materials are available to make implementing the program into your office routine a smooth transition and a successful one. Incorporating practice tools can increase the likelihood that staff will query about smoking status and document the intervention. Non-Smoking Chart Stickers Chart sticker that indicates a patient as a non-smoking individual. Sticker should be printed on Avery Labels 5732. Smoking Chart Sticker Chart sticker that indicates a patient as a smoking individual. Sticker should be printed on Avery Labels 5732. Smoking Cessation Counseling Documentation Cover Letter Use this cover letter to accompany Smoking Cessation Counseling Documentation Forms when sending into the main office Smoking Cessation Counseling Documentation Form (English) Documents the 5 A's intervention on a 8.5x11 sheet that logs 6 office visits.
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	QUITLINE


	1-800-QUIT-NOW Quitline Materials Order Form Use this form to order Quitline materials for use in your office. Fast Fax Referral Form Use this form to get your patient's consent by having the sign the bottom allowing you to fax their name to the Quitline. Quitline Flier 8.5x11 promotional flier that can be hung in your office.

	LOCAL RESOURCES


	Local Resource Map