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The ACT Center at the University of Mississippi Medical Center

Treatment

Treatment

Education

Research

Clinical Forms

ACT Center Fax Referral Form
Tobacco Treatment Intake 2018
Brief Treatment Intake Form
Brief Treatment Follow-Up Form
New Joint Commission Measure Set v4.0
Slip Card Template
Nicotine Dependence ICD-10 Codes
TTS Certification Procedures

The ACT Center at tThe University of Mississippi Medical Center

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Frequenty Asked Questions

The University of Mississippi Medical Center

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