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Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

If you are someone other than the child, a parent/guardian or medical professional, please share this referral form.

Click Here to Share the Referral Form
Make-A-Wish® Montana
1015 Mount Ave
Suite C
Missoula, MT 59801
(406) 259-9848