Referral for Special Wish Child/Adolescent

Mission: To grant the Special Wish of children/adolescents, birth through 20 years, diagnosed with a life-threatening disorder (based on medical criteria). We serve children from Montgomery, Miami, Greene, Darke, Mercer, and Shelby Counties.

Child/Adolescent Information

Have you ever worked with another Wish Granting Organization before?

Yes

No

Medical Information