QUIT MidWest Referral Form

Last updated on 27/04/2023


To submit a referral form to QUIT MidWest for support with smoking cessation, click on the link below, fill out the QUIT Referral Form (found at the bottom of the page) and send the form on to quit.midwest@hse.ie 

Stop Smoking Referral Form

If you have any issues, please get in touch with Niamh Keating, Health Promtion and Improvement Officer UL Hospitals Group: 

niamh.keating4@hse.ie