Make-A-Wish® Foundation of Greater Pennsylvania and Southern West Virginia

Referral Form

Who Can Refer A Child?
Out of respect for the children and families we serve, and out of concern for their privacy, children who may be eligible to receive a wish can be referred by one of three sources:

  1. Medical professionals treating the child, such as doctors, nurses, social workers or child-life specialists
  2. A parent or legal guardian of the potential wish child
  3. The potential wish child

How Do I Refer A Child?
To refer a child to the Make-A-Wish Foundation, please complete the a secure online National Referral Form or call the Make-A-Wish Foundation of Illinois at 312.602.9474 or 1.800.978.9474, outside of Chicago.

National Referral Form

We are happy to provide more detailed information about the Make-A-Wish referral process to hospitals, physicians’ offices and medical groups who work with potential wish children. To schedule an in-service training or one-on-one meeting, contact Dina Thachet, Medical Outreach Manager at 312.602.9435 or thachet@wishes.org.

Many doctors tell us that a wish is powerful medicine. The doctors provide the medicine and we provide the magic! InfoSpot

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