Setting Up Your Dental Office to Provide the Tobacco Dependence Treatment Service Directions: To start thinking about how you might go about setting up the dental practice with a tobacco dependence treatment service, respond to each "Item" below, describing how you would manage each of the components listed in the left column. Be specific by using names and inserting appropriate websites, etc. Component of Program List three pieces of literature/publications 1. to keep on hand for patient information Item (handouts, booklets, etc.). 2. BE SPECIFIC: i.e. AHA brochure, CDC information sheet, etc. 3. List some materials/items to assemble for a counseling kit to be used when providing the tobacco dependence treatment service. This helps to standardize the service, much like "tray set-ups" do for other dental procedures. BE SPECIFIC Describe a follow-up procedure you could use after tobacco treatment is provided in the office describe intervals/how often, who would do it). BE SPECIFIC Identify a resource/training program you might use to provide for a staff member, in order to achieve Certification as a Tobacco Addiction Specialist. BE SPECIFIC I Identify a basic online training program for staff (for healthcare providers/clinicians, not certification and not for patients). BE SPECIFIC List 2 websites for use as online quitting programs (for patients to use, not healthcare provider training). BE SPECIFIC Contained in your counseling "kit": To support our patient in the quit attempt our follow-up contact to give encouragement and support will be: Program name and website/phone number: Name of program and website: Name of programs and website: 1. 2.