Freedom From Smoking Interest Form
WEDCO District Health Department offers at least one class each year in Scott, Harrison, and Nicholas County to quit tobacco. Please complete our form to be contacted prior to the start of a class. Your information will remain on our list for one year.

To find when classes are available you can visit: https://www.lung.org/quit-smoking/join-freedom-from-smoking/freedom-from-smoking-clinics 

OR

Monitor our Facebook Page (@WEDCOHealth) to learn when we will be offering classes in our district. For free one-on-one coaching, you can enroll in QUIT NOW Kentucky anytime: quitnowkentucky.org

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Name (First & Last Name) *
Email
Phone Number *
How would you like to be contacted? *
Best time of day you can attend? *
Required
Which class method would you prefer to attend? *
Which county would you prefer to attend classes? *
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