Inclusion Criteria:  current smoker (5+ cigarettes/day) patient at the Helen F. Graham Cancer Center & Research Institute (ChristianaCare) lung/thoracic clinic  Exclusion Criteria:  use of non-cigarette tobacco products or smoking cessation treatment psychiatric or other medical contraindications to receiving smoking cessation medication no telephone medical instability inability to communicate in English unable to consent due to mental status estimated life expectancy of <6 months not a Delaware resident pregnancy