Refer a Child

Our network of advocates, donors and friends help us identify Indiana children who are deserving of a wish. If you have a child or know of one who is facing a life-threatening illness, please fill out a form to tell us more about that child.

Family or friendMedical professional

Referral by Family or Friend

If you have or know of a child in need, please fill out the form below to have their wish considered.

Your Information

Child's Information