Welcome to the
IQH Referral Portal

Providers, you can make electronic Tobacco Cessation Referrals for residents of Alabama and Tennessee in just a few easy steps.


Get Started by Registering

Referral Portal Sign In

For password help click here.

About the Online Referral Portal

This portal is intended for professional referrals only. Friends and family members of tobacco users are encouraged to have their loved one call 1-800-QUITNOW.

The IQH Referral Portal allows providers to make electronic quitline referrals for telephone or online cessation counseling. The IQH Referral Portal also tracks the progress of your referrals and shows efforrts to become tobacco free.


Step One:

Register with the quitline. After registration You'll be contacted to verify your status as a Provider.

Click to Register

Step Two:

Sign in and begin referring tobacco users. Once the required information is submitted a Quitline professional will contact the referral and discuss cessation options.

Step Three:

Sign in and review the progress of your referrals. Status updates are uploaded nightly.

Fax Referrals

Providers can refer any resident of Alabama or Tennessee by downloading a state specific fax referral form, and sending it to 1-800-692-9023. The Quitline will attempt contact with your patients for enrollment in Quitline services. Progress reports are available upon request.

Alabama Tobacco Quitline Fax Referral Form

Alabama Tobacco Quitline Fax Referrral Form

Alabama Tobacco Quitline Fax Referral Form - Spanish

Alabama Tobacco Quitline Fax Referral Form - Spanish

Tennessee Tobacco Quitline Fax Referral Form

Tennessee Tobacco Quitline Fax Referrral Form

Tennessee Tobacco Quitline Fax Referral Form - Spanish

Tennessee Tobacco Quitline Fax Referral Form - Spanish

Contact Us

Got questions? You can reach out several different ways Email, Chat or Phone. For email, send a message to referrals@iqhquitline.com. You can chat with us via the Live Chat button below or call us at 1-800-QUITNOW.