How to Register
There are 2 steps to complete to be included in the registry:
- Complete "Every Smoker, Every Time," ACT to Address Youth Cessation Training, or a comparable cessation training. Providers receive a Certificate of Completion via email when completing Every Smoker, Every Time or can download a Certificate of Completion from the ACT Training. The certificate must be included with their completed Registry application.
- Complete the DOH registry application.
- View the application instructions.
- Unable to apply online? Use the downloadable form version.
Please submit your completed Registry application and ESET certificate to:
Email: RA-Registry@pa.gov
Fax: 717-214-6690
Mail:
Pennsylvania Department of Health
Bureau of Health Promotion and Risk Reduction
Division of Tobacco Prevention and Control
625 Forster Street, Room 1032, Health and Human Services Building
Harrisburg, PA 17120