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.
Make-A-Wish® Wisconsin
11020 West Plank Court
Suite 200
Wauwatosa, WI 53226
(262) 781-4445
Toll Free Wisconsin Only (800) 236-9474
Make-A-Wish® Wisconsin, Northeastern Office
100 W. College Ave.
Suite 50E
Appleton, WI 54911
(920) 993-9994

Make-A-Wish® Wisconsin, Madison Regional Office
1818 Parmenter St
Suite 310
Middleton, WI 53562
(608) 841-1169