How Wishes Are Granted

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Every fulfilled wish represents a unique collaboration between the wish family, medical professionals, volunteers and donors. Wish granting truly is a magical, yet comprehensive and dynamic process.

The magic of wish granting usually begins with a referral call to the chapter office by a physician or social worker.  However, the family or even the child himself may do the referral. A wish referral form is completed with relevant information about the child. After Make-A-Wish has been contacted, a medical authorization form is sent to the child’s primary physician. Upon medical approval, a team of volunteers will schedule an initial wish visit to discover the child’s wish. Then chapter staff and volunteers work the magic for the child’s wish to come true. There are four steps to granting a wish. Each step builds on the next to help create the amazing experiences that delight wish kids and their families. A wish experience is frequently a source of inspiration for children undergoing difficult medical treatments and a positive force that helps them overcome their obstacles.

Step 1: Referral 

We rely on medical professionals, parents and children themselves for referrals. Children who have reached the age of 2½ and are under the age of 18 at the time of referral who have not received a wish from another wish-granting organization may be eligible for a wish. 

Step 2: Medical eligibility

We determine a child’s medical eligibility with the help of the treating physician. To receive a wish, the child must be diagnosed with a life-threatening medical condition – i.e., a progressive, degenerative or malignant condition that has placed the child’s life in jeopardy. 

Step 3: Finding the true wish 

We send one of our enthusiastic wish teams to learn the child’s one true wish. These passionate volunteers connect with wish children and help explore their imaginations for the experience that will delight and inspire them. 

Step 4: Creating joy

Our wish granters create an unforgettable experience driven by the child’s creativity. It’s an incredible experience that enriches not just the lives of the children and their families, but often an entire community.  A wish experience is often more than a dream come true: it’s the catalyst that rekindles their belief in themselves and the promise of their future. 

A wish experience is often more than a dream come true: it’s the catalyst that rekindles their belief in themselves and the promise of their future. Most wishes fall into one of four major categories:

I wish to go…
Some Make-A-Wish® kids want to travel to their favorite theme park, while others want to visit an exotic beach, go on a cruise, see snow for the first time, or attend a major sporting event or concert.

Jacob in st john


I wish to be…

Children search the depths of their imagination when they wish to be someone for a day - a fireman, a police officer, or a musician, for instance.

Omar the rock star


I wish to meet…

Many want to meet their favorite athlete, recording artist, television personality, movie star, politician, or other celebrity.

LJ and Nash


I wish to have…

Children often wish for a special gift, like a computer, a tree house, a shopping spree, or something that they have always wished to own.

Sara with laptop

Refer a child!