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When we hear of a child suffering from a life threatening illness, we feel such sadness. We wish there was something we could do - some way we could help.

Often we do nothing, because we don't know what to do! Now you can help - it's as easy as completing the referral form below. Your referral can be named or anonymous, and you can rest assured that Wishes Can Happen, Inc. will interact with the family in the most professional manner. Our wish coordinators are experienced in dealing with the special needs of our wish families, and extra care will be given to each and every detail of the wish. The only qualifications are that the child:

  • live in Ohio
  • be between the ages of 3 thru 21
  • has not received a wish from another wish granting organization
  • has been diagnosed with a life threatening illness

When you press SEND, this form will be delivered to us by email. If you'd rather call in your referral direct, you may call our office at (330) 966-0043.

CHILD'S INFORMATION:
Child's Name:
Child's Age:
Parent's Name:
Wish Family Phone: ( )
Street Address :
City: State: Zip:
Disease:

REFERRAL INFORMATION:
Your Name:
Your Phone: ( )
Email address:
Street Address:
City: State: Zip:
I want my referral to be anonymous.