California Smokers’ Helpline Web-Based Referral Registration

Welcome to the California Smokers' Helpline web-based referral registration. This system offers health professionals a quick and easy method for referring their patients who use tobacco to free, clinically proven cessation services.

If you are unable to find your "Parent or Umbrella Organization" or your "Referring Organization" from either of the drop-down lists below, please click "Can't find from list" and complete the required information.

Important Technical Note: To view this page properly, you must enable Javascript and use one of the following browsers: Firefox, Chrome, or Internet Explorer 10 or above. If you continue to experience technical issues, contact your technical support team or the California Smokers Helpline at (858) 300-1010.

You will be notified within 5 business days if your registration is approved.

Thank you for using the Helpline’s web-based referral service!