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Smoking cessation plan

Brief counseling plan with quit-date and follow-up prompts.

Last reviewed 2026-01-04|respiratory | lifestyle | patient

How to use this handout

Outline a quit date, medication options, and local supports for the patient. Book a follow-up or phone check-in to reinforce the plan.

Return precautions (patient script)

Suggested plain-language wording for safety-net counseling:

If symptoms get worse, new warning signs appear, or you cannot follow the plan from this visit, seek urgent care now.

  • Use with the specific red flags listed on this page.
  • Confirm follow-up timing and where to go after-hours.
  • Document that return precautions were reviewed and understood.

Printable PDF

Open or download the PDF to print or share with a patient.

Open PDF

Source and licensing

Original handout created for DrSonia. Smoking cessation supports aligned with Health Canada guidance.