Online forms: Get help giving up smoking

Fill in this form and one of our stop-smoking advisors will contact you shortly, to help you to find the support best suited to you. 

This is a free local service. 

The Living Well Hub has been commissioned by Stoke-on-Trent City Council to provide stop smoking services in Stoke-on-Trent. 

By completing and submitting the online form you are consenting for us to pass on all your details to the Living Well Hub.

The Living Well Hub will then contact you directly to tell you what support is available locally to help you quit smoking and then will pass on your details to the service you have chosen to receive stop smoking support from.

If Stoke-on-Trent stop smoking service is not your local service the Living Well Hub will automatically pass on your details to your local stop smoking service.     

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

Data protection information