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Please note that your patient is only eligible to use this service if they live, work or have a GP in Stoke-On-Trent.

If you would like to register a patient on a phone call, please contact us directly on 0808 169 1869

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Do they need the support of a translator?

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What is the name of the GP practice which you are referring from?*

Are they a care leaver?

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A care leaver is an adult who has spent time living in the care system, away from their family

Do they consider themselves to be a carer?

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Do they consider themselves to have a disability?

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Do they have a partner who is pregnant or live with someone who is pregnant?

Yes

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Do they have any mental health illnesses at the moment?

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Why Quit Smoking?
Support for Young People
About
FAQs
Resources
People's Stories
Call us
Refer Someone
Sign up

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