NOT for Me

Referral Toolkit

Aetna Better Health Kids and the American Lung Association are pleased to offer schools and community partners the NOT for Me referral toolkit as a resource to address the youth vaping epidemic. At the heart of toolkit is the Lung Association’s NOT for Me online youth cessation program – a free, evidence-based application designed to help middle and high school students break their nicotine dependency, regardless of the tobacco product they use. The referral kit contains the following resources to help community partners educate students about the dangers of e-cigarettes and identify those in need of cessation support.

 

Downloadable Resources

Printed copies of the educational materials for students (listed above) are also available free of charge. Please use the form below to place an order for hardcopy materials. Orders will be fulfilled on a first come basis while supplies last.

 

    NOT for Me Print Resources Order Form

    Please complete the form below to request free hardcopies of the student resources listed above. Orders will be fulfilled on a first come basis while supplies last.

    * = required

    Requester Information:

    First Name*:

    Last Name*:

    School or Organization*:

    Phone number*:

    E-mail*:

    Number of Copies Requested:
    Printed materials are shipped as a set, containing each of the 5 educational materials for students listed above. A single set includes 75 copies of each handout. Please indicate how many sets you wish to receive.

    Mailing Address:

    Recipient First Name*:

    Recipient Last Name*:

    Street Address*:

    Address Line 2:

    City*:

    State*:

    Zip code*: