Quitline Referral Program
A quick 3-step summary on how to utilize and easily implement the Quitline as a resource in any setting.

Quitline Enrollment Form
Download to save or pre-fill and print to enroll an individual in the Quitline's Free Tobacco Treatment Program.

Quitline Marketing Toolkit Supply Order Form
Download to save or print and fax for free marketing toolkit supplies in these limited quantities.

Customized Reports to Track Success
As part of a special service, the ALA may customize a report for your wellness program to track success. Reports may include:

• Enrollment date
• Call summary List of enrollees
• Enrollee demographics
• Stage of program completion
• Self-reported outcomes
• Quit rates
• Program satisfaction survey results

We will work with you to establish a reporting schedule. Bi-annual and quarterly reports are most common.

Marketing Materials
Several items are available to help promote use of the Illinois Tobacco Quitline. These include:

• Coasters- $.08 each
• Magnets- $.30 each
• Posters- $.50 each
• Brochures- $.25 each