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W.I.S.H Program Referral Format social service are you in need of?___ _ Are you homeless in Los Angeles What is your current housing situation? Are you in need of an emergency shelter? Contact information
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How to fill out wish referral form
How to fill out wish referral form
01
Obtain wish referral form from Make-A-Wish foundation or their website.
02
Fill out the applicant's personal information including name, address, contact information.
03
Provide details about the wish recipient including name, age, medical condition.
04
Describe the wish that the recipient has, including any specific details or preferences.
05
Obtain necessary signatures from both the applicant and a healthcare professional familiar with the recipient's condition.
06
Submit the completed wish referral form to the Make-A-Wish foundation.
Who needs wish referral form?
01
Individuals who are facing a life-threatening medical condition and have a wish that they would like to have fulfilled.
02
Parents or legal guardians of children with life-threatening medical conditions who would like to request a wish on their behalf.
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What is wish referral form?
The wish referral form is a document used to refer a child with a critical illness to the Make-A-Wish Foundation for a wish-granting experience.
Who is required to file wish referral form?
Medical professionals, social workers, or parents/guardians of a child with a critical illness are required to file the wish referral form.
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 via email or mail.
What is the purpose of wish referral form?
The purpose of the wish referral form is to identify and refer children with critical illnesses for a wish-granting experience.
What information must be reported on wish referral form?
The wish referral form requires information about the child's medical condition, contact information, and details about the child's wish.
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