Request a NSW Quitline Call-Back

Double Your Chances of Quitting Smoking!

Taking part in the NSW Quitline call-back service can improve your quitting odds by 50%! All you need to do is complete the form below.

If you’re helping someone else stop smoking, it’s a good idea to encourage them to fill out this form.

Please leave your details:
  1. Contact Details

  2. Your Smoking Habits

  3. Your quit smoking methods



  4. About You


  5. Are you of Aboriginal or Torres Strait Islander origin?


  6. About the call-back

  7. * Required Fields