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WISH REFERRAL FORM APPLICATIONDate form completed: / / Expedite application: YES NO Reason: Wish Number: WISH CHILD INFORMATION Name: FirstMiddleNickname: Last DOB: / / Age: Gender: Male Female Medical
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How to fill out wish referral form

How to fill out wish referral form
01
To fill out the wish referral form, follow these steps:
02
- Begin by gathering all the necessary information and documents such as the applicant's personal details, medical information, and supporting documentation.
03
- Access the wish referral form either online or in person at the appropriate wish-granting organization.
04
- Start filling out the form by providing the applicant's full name, contact information, and address.
05
- Proceed to provide details about the applicant's medical condition, including any relevant diagnoses, treatments, and medications.
06
- If required, attach any necessary medical reports, doctor's notes, or other supporting documents.
07
- Provide additional information about the applicant's background, interests, and the specific wish they are requesting.
08
- Double-check all the information provided for accuracy and completeness.
09
- Submit the completed wish referral form either online or by mail as specified by the wish-granting organization.
10
- Await further communication from the wish-granting organization regarding the status of the wish referral and any additional requirements or steps to be taken.
Who needs wish referral form?
01
The wish referral form is typically needed by individuals or parents/guardians of children who have a qualifying medical condition and are eligible to receive a wish from a wish-granting organization.
02
These medical conditions can range from life-threatening illnesses to chronic diseases or disabilities that significantly impact the individual's quality of life.
03
In most cases, the wish referral form is required to initiate the process of granting a wish and determine the eligibility of the applicant.
04
It is usually completed by the applicant themselves or their parent/guardian, with the assistance of medical professionals or wish coordinators.
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What is wish referral form?
The wish referral form is a document used to refer a child with a life-threatening medical condition to the Make-A-Wish Foundation.
Who is required to file wish referral form?
Healthcare professionals, social workers, or family members can file a wish referral form for a child with a qualifying medical condition.
How to fill out wish referral form?
The wish referral form can be filled out online on the Make-A-Wish Foundation website or submitted through a local chapter.
What is the purpose of wish referral form?
The purpose of the wish referral form is to initiate the process of granting a wish for a child with a life-threatening medical condition.
What information must be reported on wish referral form?
The wish referral form must include the child's medical condition, contact information, and the child's one true wish.
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