To refer someone for smoking cessation treatment, complete the form below or email smokefree.cityandhackney@nhs.net

Name

NHS Number

Date of Birth

Ethnicity

Gender

Address

Postcode

Daytime Phone Number

I consent / I have consent from my patient to send this referral form

Referred from

Please provide your name, your organisation, and your contact details.

Smokefree City & Hackney

Smokefree Hackney is a free stop smoking service, supporting Hackney residents to live a healthy and smokefree life. With our help, you are four times more likely to quit smoking than if you go it alone.

Contact us

Speak to one of our specialists on our freephone, available 9am to 5pm, Mon-Friday

0800 046 99 46

Do you want to quit?

Dont live/work/study/ have a GP in City or Hackney?

The Stop Smoking London portal will point you to your local stop smoking service!

Tel 0300 123 1044 7 days per week: Mon-Fri, 9am-8pm and Sat-Sun 11am-4pm

Visit Stop Smoking London

Stop Smoking Training

We provide stop smoking training on how to speak to smokers about their habit, refer them to local services. We also train Stop Smoking Advisors.

Training information

Stop Smoking Referral Form

Referral Form