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Online forms: Get help giving up smoking

Fill in this form and one of our Living Well Hub advisors will contact you shortly, to tell you what support is available locally to help you to quit smoking. 

This is a free local service. 

The Living Well Hub will then pass your details on to the service you have chosen to receive support from.

By completing and submitting the online form you are giving consent for the Living Well Hub to contact you.

If you would prefer to speak directly to the Living Well Hub, you can call 0800 085 0928. 

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