Fax to Assist

Overview

• Welcome to Fax to Assist!
• Fax to Assist is an exciting and convenient way for you to refer your clients to Maryland's Quitline to help them quit smoking.
• There are 4 training modules that will provide you with information about the Fax to Assist program and how to become certified to be a Fax to Assist provider.
• At the end of the 4 modules, you will be asked a series of 20 questions about what you have just read. You will need to correctly answer 70% of the questions to be certified. Once certified you will have access to our downloadable referral forms. You can take the 20 item quiz more than once in order to pass.
• It will take approximately 20 minutes to complete this process.

Learning Objectives

• Module 1: Learn about Fax to Assist
• Module 2: The 5 A's, a Brief Smoking Intervention
• Module 3: The Stages of Change, Motivational Strategies, and the 5 R's
• Module 4: What your Client will Experience when he or she calls the Quitline

Accessing the Fax to Assist Form

To access the fax referral program:

1. Download the Fax to Assist: On-line Training for Certification modules (listed above) and review them. You will be presented with an online examination during the registration process, this examination is required before accessing the Fax Referral form.
2. Click here to complete your registration form and take the examination.

Click here for detailed directions for accessing and navigating the 4 Modules

Existing User Login

Users who have previously registered and completed their examination may login below.