Referral Form

Children who have reached the age of 2 ½ and are  under the age of 18 who have been diagnosed with a life-threatening illness are potentially eligible for a wish as long as they have not received a wish from another Make-A-Wish chapter or another wish-granting organization.  It is important to note that our qualification is based on the illness being “life-threatening” at the time the child is referred.   It does NOT mean that the illness is terminal or that we are granting the child’s “last wish.”   Every day advances in medical technology help many of our wish children go on to lead healthy and productive lives. In fact, it has been the experience of many doctors, nurses and other health care providers that having a wish come true can be an integral part of the healing process for a child battling a life-threatening illness. A wish gives them a chance to forget treatments and hospital stays as they plan the wish, anticipate its arrival, experience it to the fullest, and then have wonderful memories that will continue to sustain them and their families through the days ahead.
The Make-A-Wish Foundation respects the privacy of the children and families it serves. We consider all wish child information confidential and will not discuss the information with outside parties unless it is needed for the fulfillment of the wish, and the parents or guardians have consented.