Services

Smoking Cessation

American Lung Association Freedom From Smoking class meets at Memorial Medical Center every Tuesday from 5-6:30 p.m. beginning Tuesday, September 10th and concludes on Tuesday, October 22, 2019. During this course we will set a quit date, create a personalized plan to prepare for quitting and build strategies for managing stressors during and after your quit. The cost of this 7-week class is $30. Please complete the registration form and questionnaire for the upcoming September 2019 class.

If you need financial assistance to cover the cost of this class or would like information about future class dates please call 217-788-3559.

Registration Form and Questionnaire

First Name
Middle Name
Last Name
Email
Address
City
State
Zip
Phone
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Other:
What is your gender identity?

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Do you think of yourself as (check all that apply)



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