We can accept referrals by phone, mail, fax or online.
You will need some basic information to make a referral including the child’s name, medical condition and birthday, parents’ names, address, phone number, and physician’s name and phone number.
Click here to use our online referral form.
Refer by phone:
Refer by fax:
Refer by mail:
1015 Mount Ave. Suite C
Missoula, MT 59801
*If you are someone other than a parent/guardian or the potential wish child but know of a child with a life-threatening medical condition, please don’t hesitate to contact us at 1-877-574-9474 to find out more about the referral process.