Remove from SMS Form
If you wish to be removed from ALL SMS notifications and/or to be removed from any waitlist then please enter your details below.
* Your Name:
* Your Mobile Phone Number:
* Choose reason why you are removing from our list: —Please choose an option—I had this treatment and it worked and I no longer wish to receive any SMS.I had this treatment and I have started smoking again.I am no longer smoking and do not need this treatment.I am not interested in this treatment.I did not sign up for this and I am not sure why I am receiving texts.Other
How long after our treatment were you smoking again? —Please choose an option—12 Weeks+4-12 Weeks1-4 Weeks2-7 DaysLess than 2 days
Would you like us to contact you about potential followup treatment options? —Please choose an option—YesNo, Please just remove me from any further SMS
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