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Stop Smoking With LiveWire
There are many benefits to stopping smoking, including many health benefits and saving money. Whatever your goals, LiveWire can help you every step of the way.

Swap to Stop Campaign

Our SmokeFree Warrington Service is offering adults who smoke the opportunity to take part in a national initiative that supports them to swap cigarettes for a free vape kit and behavioural support for up to 12 weeks.

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Health Professional Referral

If you would like to refer a patient/client to our Smokefree Warrington Service, please fill in the form below and a member of our team will be in touch shortly.

    Referrer details:

    Referrer First Name*

    Referrer Last Name*

    GP Surgery/Referrer Organisation*

    Referrer Job Title*

    Referrer Contact Number*

    Referrer Email*


    About your client:

    Client First Name*

    Client's Last Name*

    Client Gender*

    Client's Address*




    Client's Ethnicity*

    Client's Contact Number*

    Client's Email

    Client's Date of Birth*

    Does the client have any communication needs?


    If the client is under 18, please complete the following:

    Parent/Guardian Name

    Parent/Guardian Date of Birth

    Parent/Guardian Email

    Parent/Guardian Contact Number


    Consent:

    Do you have consent from your client to securely share their details with LiveWire?

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