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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.

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We value your privacy and will not share your personal information.

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Make-A-Wish® Mid-Atlantic, Inc.
5272 River Road
Suite 700
Bethesda, MD 20816
(301) 962-9474
After Hours Nightline (301) 962-9474
Make-A-Wish® Mid-Atlantic, Inc., Baltimore Field Office
9475 Deereco Road
Deer Park Center, Suite 306
Timonium, MD 21093
(410) 453-9430
(410) 453-9430