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Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

¡OPRIMA AQUÍ PARA REFIRIR A UN NIÑO!

Llame 312.602.9446 con preguntas.

Referrals and eligibility

Make-A-Wish accepts referrals from:

  • Children being treated for a critical illness
  • Medical professionals (typically a doctor, nurse, social worker or child-life specialist)
  • Parents or legal guardians
  • Family members with detailed knowledge of the child's current medical condition

To be eligible, children must meet these criteria at the time of referral:
  • Diagnosed with a critical illness, i.e., a progressive, degenerative or malignant condition that is placing the child's life in jeopardy
  • Older than 2½ years and younger than 18
  • Has not received a wish from another wish-granting organization

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Make-A-Wish® Illinois
640 North LaSalle Drive
Suite 280
Chicago, IL 60654
(312) 602-9474
Toll Free (800) 978-9474