Request a call

RPCS currently offers quit smoking services to Roswell Park patients and employees and through programs sponsored by the following state Quitlines, health plans and employer:
  • New York State Smokers’ Quitline
  • New Jersey Quitline
  • BlueCross BlueShield of Western New York
  • EmblemHealth
  • Independent Health
  • Wegmans Food Inc.
To have a Quit Coach call you to see if you qualify for one of our programs, please fill out the following information.

Check all that apply:

Resident:



Health Plan:




Employee/Family of Employee:






I am a:





Name*:

 

Phone number*:

 

Preferred day of the week to be called:



Preferred time of day to be called:







Please note, fields marked with '*' are required to receive a call by a Quit Coach.










Call us: 1-877-500-2393 (TTY/TDD 711) or Request a Call - Call Hours: Mon-Fri 8 a.m. - 9 p.m., Sat 8 a.m.-7p.m. and Sun 9 a.m. - 5 p.m.
Developed by the Roswell Park Cessation Services, Roswell Park Cancer Institute Elm & Carlton Streets, Buffalo NY 14263. Nondiscrimination Notice
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