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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.

WHO CAN REFER A CHILD?

Make-A-Wish accepts referrals from:
  • Children being treated for a life-threatening medical condition
  • Parents or legal guardians
  • Medical professionals (typically a doctor, nurse, social worker or child-life specialist)
  • Family members with detailed knowledge of the child's medical condition

Who is eligible?

A child with a life-threatening medical condition who has reached the age of 2½ and is younger than 18 at the time of referral is potentially eligible for a wish.

Read more on eligibility criteria for a potential wish child.

Make-A-Wish® Massachusetts and Rhode Island
133 Federal Street, 2nd Floor
Boston, MA 02110
(617) 367-9474
Back Line (617) 367-0739
Make-A-Wish® Massachusetts and Rhode Island, West Springfield Office
181 Park Avenue
Suite 12
West Springfield, MA 01089
(413) 733-9474

Make-A-Wish® Massachusetts and Rhode Island, Providence Office
20 Hemingway Drive
East Providence, RI 02915
(401) 781-9474