Join the Together Programme

The Together Programme is totally free and is designed to help you go smokefree from home, supplying you with information and advice via post, email, text and phone at critical times.

Please complete your details below remembering to include your quit date. It's best to choose a date a few weeks from now. This will give us time to write to you with help on how to prepare. Research shows that the more prepared you are, the more likely you are to succeed.

* Mandatory fields

Step 1: Personal details

* Title

* Forename

* Surname

* Email Address

* Quit Date

Day Month Year

NB. This must be between 4 days and 2 months after your Together registration.

Please enter the date you are going to quit smoking. NB. This must be between 4 days and 2 months after your Together registration.

* Address 1

Address 2

Address 3

* City

County

* Postcode

* Country

England - If you live in Scotland, Wales or Northern Ireland please click here

* Contact Phone

Mobile Phone

* How did you hear about the Together programme?

* Date of Birth

Day Month Year

* Gender

Female

Male

Step 2: A little more about you

On average how many cigarettes so you smoke a day?

How long have you been a smoker?

What is your primary reason for your decision to want to give up smoking?

Please add other notes:

How many times have you tried to give up before?

Step 3: Staying in touch

For us to be with you every step of the way, we need your consent. Please tick the applicable boxes below to indicate that you are happy to be contacted by post, email, text and phone.

Can we contact you by post? *

Can we contact you by telephone?

Can we contact you by text (SMS)?

Can we contact you by email?

Exclusions

This service is only available for England residents age 14 and over. If you are under 14 and need help giving up, please call the NHS Smoking Helpline on 0800 022 4 332

Learn more about Scottish services

Learn more about Welsh services

Learn more about Northern Ireland services by calling the Smoking Helpline on 0800 85 85 85.

Please note that pregnant woman cannot join Together. If you are pregnant the NHS offers a specialist call back service. To join, please call the NHS Pregnancy Smoking Helpline on 0800 169 9 169 (lines open daily from 12 noon to 9pm).

Did you know...

If you attend group sessions and/or use patches, gum or other aids, you are up to FOUR times more likely to succeed at going Smokefree than going it alone.

Call the smoking helpline:
0800 022 4 332 NOW!