<% 'If LCase(Request.ServerVariables("HTTP_X_FORWARDED_SERVER")) <> "ssl" Then 'response.redirect "https://secure.netsolhost.com/icanstopsmoking.org/contactus.asp" 'End if %> ICanStopSmoking.org Contact Information

Stop Smoking Treatment / Quit Smoking

ICAN  Icon  Icon
Treatment
Corporate Headquarters
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International Coalition Against Nicotine
13176 N. Dale Mabry Hwy. Suite 303
Tampa, FL 33618
Phone: 813-868-4121
Fax: 813-868-4126

Stop Smoking

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Medical Professionals

Looking to become a treatment center, please register a request via our  medical site registration form.
Go There Now

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General Information

Please submit an inquiry via this form. Someone will respond to your inquiry with 48 business hours.
 
  Please Note:

<% if request.querystring("s") = "y" then response.write "" response.write "Thank you for submitting your request. As soon as we receive your " response.write "information, it will be assigned to one of our Customer Service Representative. They " response.write "will contact you directly using the information you provided" elseif request.querystring("s") = "n" then response.write "" response.write "Thank you for submitting your request. there was an error in receiving your request, " response.write "please try re-submitting your request again, As soon as we receive it will be assigned " response.write "to one of our Customer
Service Representative. They will contact you directly using " response.write "the information you provided

" elseif request.querystring("s") = "i" then response.write "" response.write "There was an error in receiving your request, please try re-submitting your request " response.write "also make sure that
all required files are complete. " response.write "

" else response.write "ICAN is committed to helping you find the right answers to your questions and we will be happy to " response.write "answer any general product-related requests. However, we cannot provide answers to personal medical " response.write "questions. If you have a question that relates to your treatment or personal medical condition, please " response.write "contact the physician that will or has treated you, as this individual is most familiar with the treatment. " response.write "If you are experiencing a medical emergency or side effect, contact the treating physician immediately.
" end if %>

<% if request.querystring("s") <> "y" then %>

 Contact Information
 First and Last Name*   ">  ">
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 Phone Number*   ">-">-">
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Comments  
                                                   *required fields
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ICAN is only available through a licensed Practitioner.
To schedule an appointment, go to treatment
locations and contact a
treating physician most convenient to you.


 

 

Disclaimer + Privacy Policy + About ICAN + Search Our Site
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