Resources
For ease and accessibility, PACT resources are separated into different categories below. The document resources below also categorized in their different stages of change during the PACT program.
P = Precontemplation
C = Contemplation
PR = Preparation
A = Action
M = Maintenance
Billing Policy
Documentation
Step 1 – Bronze/Bronze plus
Step 2- Patient Assessment
Step 3 – Personalized Care Plan
Step 4 – Practitioner Communication Letter
PACT Cessation Algorithms
Pharmacist Resources
Smokers Helpline Referral Form
Drug Therapy in Special Populations
THE 5 As and Assistance Strategies, P
Modified Fagerstrom ,PR/A
Modified Fagerstrom Smokeless Tabacco, PR/A
Bank of Follow-Up Questions, A/M
PACT Workbook
The resources listed in this section are for pharmacists or health care providers while patients work through the PACT program.
Pharmacotherapy # 3 Varenicline
Pharmacotherapy # 4 Inhaler / Lozenge
Patient Resources
General Cessation Information
Myths about Smoking, P/C
What Happens When You Smoke, P/C
10 Tips to Help You Stay Smoke Free, PR/A
Making Quitting easier, PR/A
Smoking Reduction Tips, PR/A
Decisional Balance Sheet, PR/A
Problem Solving Form PR/A
Concerned About Stress, C/PR/A
Quitting smoking for you and your baby, P/C
Facing-Surgery, P/C
Youth Resources
General Tobacco Information Sheet
More additional patient resources are available on the Quit Smoking page for patients.