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Share the Referral Inquiry Form

Share our online inquiry form with someone who can refer a child who lives in the United States or one of its territories.

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Medical professionals, parents, guardians and potential wish kids can initiate the referral inquiry process for a child with a life-threatening medical condition.

Do you know someone who can initiate a referral inquiry on behalf of a deserving child?


Share our Referral Inquiry form with them.

Make-A-Wish® Orange County & the Inland Empire
3230 El Camino Real
Suite 100
Irvine, CA 92602-1389
(714) 573-9474

Make-A-Wish® Orange County & the Inland Empire, Riverside Office
1650 Spruce
Suite 100
Riverside, CA 92507
(951) 321-0179