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Form Details: Download a fillable version of Form CTP-200 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Revenue.

As delineated in the clinical practice guideline, clinicians should routinely screen for tobacco use and apply appropriate interventions (Figure 1), addressing five key components for comprehensive tobacco-cessation counseling (the 5 As): (1) asking patients about tobacco use, (2) advising tobacco users to quit, (3) assessing their willingness to make a quit attempt, (4) assisting patients with quitting, and (5) arranging follow-up care (Appendix A)