Use our form to get support for your workplace or organisation, or sign up for our 1-1 stop smoking service.
If you're a workplace or an organisation, use this form to contact us about getting support for a healthy workplace.
You can use this form to refer yourself, or someone else, to the Healthy Lifestyles 1-1 Stop smoking service.
Do not use this form for other stop smoking services, including local pharmacy which does not require a referral. Find out more about other stop smoking services.
For other healthy lifestyle changes, don't use this form. You can visit our webpages for support with:
You'll need to tell us:
We will share the information you provide with healthy lifestyle services. These services may be provided by or commissioned by Brighton & Hove City Council.
Read the healthy lifestyles team privacy notice to find more information about how we use your data, and the organisations we work with. Then tick the box to confirm you understand how we'll use the information you give us in this form.
If you need help to fill in this form, you can contact us:
Information and support to make healthy changes.