Search Automated Referral Form
Automated Referral Form
Tobacco Free Florida provides Social Service Organizations with the option to request their own automated referral form to electronically submit referrals for clients who are ready to quit within the next 30 days. If your organization has generated a form before, search for your name in the textbox below. If you cannot find your organization or your organization does not have a referral form, click HERE to request one.
