Tobacco use Quitlines offer free, evidence-based individualized counseling to tobacco users ready to make a quit attempt within 30 days. Quitlines are available in all states, and many states also provide quit medication including over-the-counter nicotine replacement therapy in the form of patches, gum, or lozenges. Quitlines also serve as a resource for the busy healthcare provider who asks patients about their tobacco use status and then links those that are ready to quit to Quitline cessation services. Fax Referral to Quitlines is a program that facilitates this linkage between the clinic and Quitline. With this intervention, tobacco users are not expected to make that first step and call the quitline. Instead, the quit coach from the quitline will proactively contact the tobacco user to provide services once the quitline receives the faxed referral.