
Healthcare & Partners
Online Referral Form
Any healthcare provider or allied health professional in Manitoba, Ontario and Saskatchewan can refer their First Nation, Inuit, or Métis clients to Talk Tobacco by:
Online: Complete and submit the form below
Print: Download the referral form here, print, complete and email to talktobacco@cancer.ca or fax to 1-877-513-5334
Web fillable: Complete the form online here, save and email to talktobacco@cancer.ca