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Provider Information
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Adair County Health Department
Aetna Better Health of Kentucky
ARH Appalacian Regional Healthcare
Baptist Medical Associates, Kriesge III
Berea Health Ministry
Breckenridge Health, INC.
CARINAL STATION
Cincinnati Childrens Hospital
Commonwealth Biomedical Research, LLC
Communicare
Crittenden County Health Dept.
Daviess County Community Health Center
Deacones Hospital
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Deaconess Clinic, Orthopaedic Associates
Dr Kershner
ENT & Allergy Specialists
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Heartland Cares, Inc.
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Kentucky Cancer Program
Kentucky River Community Care, INC.
Knox Co health Department
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Louisville Metro Public Health & Wellness
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Ohio County Health Center
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Owensboro Family Medicine
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Pennyroyal Integrated Health Center
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Pulmonary and Critical Care, College of Medicine,
RANK VIA Affiliate Service Area
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Saint Elizabeth Healthcare, Regional Diabetes Cent
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Seven Counties Services, Inc.
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University of Louisville - Department of Family &
University of Louisville Hospital
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Whitley County Health Department
WL Family Med - Newbury
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Adair County Health Department
Aetna Better Health of Kentucky
ARH Appalacian Regional Healthcare
Baptist Medical Associates, Kriesge III
Berea Health Ministry
Breckenridge Health, INC.
CARINAL STATION
Cincinnati Childrens Hospital
Commonwealth Biomedical Research, LLC
Communicare
Crittenden County Health Dept.
Daviess County Community Health Center
Deacones Hospital
Deaconess Clinic
Deaconess Clinic, Orthopaedic Associates
Dr Kershner
ENT & Allergy Specialists
Family Health Center, East Broadway
Graves-Gilbert Clinic
Grayson County Health Department
GRDHD, Henderson County Health Center
Green River District Health Dept
Hardin County Health Center
Health First Community Health Center
Health Start
Heartland Cares, Inc.
Hillview Medical Clinic
Kentucky Cancer Program
Kentucky River Community Care, INC.
Knox Co health Department
Lincoln Trail District Health Department
Louisville Metro Public Health & Wellness
LTDHD, Family Medical Center
Lyon County Health Center
Lyon County Health Department
Matthew 25
MCAVLEY HEALTH CENTER
Meade Co Health Department
Mercer Co Health Department
Muhlenberg County Health Department
Nelson County Health Department
NKY Center For Pain
Norsworthy Medical Associates
Norton Community Medical Associates - Brownsboro
Ohio County Health Center
OrthoCincy
Our Lady Bellefente Hospital
Owensboro Family Medicine
Park DuValle Community Health Center at Spencer Co
Pendleton County Health Center
Pennyrile District Health Dept/Crittenden Co Healt
Pennyrile District Health Dept/Trigg Co Health De
Pennyroyal Integrated Health Center
Pennyroyal Primary Care
Pulmonary and Critical Care, College of Medicine,
RANK VIA Affiliate Service Area
Regency Rehabilitation and Nursing Center
Rockcastle Regional Hospital
Saint Elizabeth Healthcare, Regional Diabetes Cent
Seven Counties Prevention Division
Seven Counties Services
Seven Counties Services, Inc.
SITC
St Elizabeth Diabetes Center
St Louis University Hosp
St Nicholas Family Clinic
St. Elizabeth
St. Elizabeth Health Care
St. Elizabeth Healthcare
St. Elizabeth Physicians
St. Elizabeth Physicians - Walton
The Center for Women's Health
U of L Family Medicine, Cardinal Station
UK Bluegrass Care Clinic
UK Family Practice
UK Healthcare
University Medical Associates, PSC
University of Louisville - Department of Family &
University of Louisville Hospital
Walgreen Pharmacy
Walgreens
Webster County Health Department
WEDCO - Scott County Health Department
Whitley County Health Department
Whitley County Health Department
WL Family Med - Newbury
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By submitting this form, I verify that the patient being referred has consented to participate in the tobacco cessation program.
Authorization
As a Not Covered Entity, personal health information will not be shared back for the individual being referred.
By submitting this form, I verify that the patient being referred has consented to participate in the tobacco cessation program.
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