Return to mobile version

Share the Referral Inquiry Form

Share our online inquiry form with someone who can refer a child who lives in the United States or one of its territories.

Email to

from

Message

Optional

Type the characters below



Make-A-Wish accepts referrals from:

  • Parents or legal guardians
  • Healthcare professionals
  • Children being treated for a critical illness
  • Family members with detailed knowledge of the child's current medical condition


Do you know someone who can initiate a referral inquiry on behalf of a deserving child?


Share our Referral Inquiry form with them.

You might also be interested in ...

Make-A-Wish® Colorado
7951 E. Maplewood Avenue
Suite 126
Greenwood Village, CO 80111
(303) 750-9474
Toll Free Colorado Only (800) 366-9474