Refer a Child

In your community you may meet a special child that could be referred to our organization for a special gift. Referrals can be made by using the online Referral Form below.  You may also download the Application Form and send to 1977 E. Wattles, Troy, MI  48085  or you can  Fax to (248) 689-4504

The requirements for a Trophy Recipient are as follows:

  • Ages 3 – 21 years old
  • A Michigan resident
  • Diagnosed with a life-threatening illness
  • Verified by a licensed medical professional

In order to respect the privacy of the children and families we serve, children who may be eligible to receive a wish can be referred by:

  • Medical professionals treating the child – such as doctors, nurses, social workers or child-life specialists,
  • A parent or legal guardian of the potential wish child or
  • The wish child himself/herself.

If you know a child you would like to refer and you are not the parent or guardian, medical professional treating the child or the wish child yourself, you may provide the  Application Form to the appropriate source for referral or contact us for assistance.

Believe in Miracles primarily helps children who have had a recurrence or an ongoing medical condition. We serve as an enhancement for children who have already received a wish from a wish granting organization, but who are still battling their disease and could really use something to brighten their day. Believe in Miracles will meet the needs of suffering children by providing necessities or a fun-filled gift.

Refer a Child to Believe in Miracles

If you know of a child that meets the criteria, he/she may be eligible for a gift through Believe in Miracles.  Please fill out the on line referral information below and or download the Application Form and submit it to our office.

Child's Information

Child's Name (required)

Parent(s) or Guardian(s) (required)

Phone (required)

Child's Physician (if known)

Child's Illness (if known)

Your Information

Name (required)

Relationship (required)

Phone

Email (required)

Comments

Admin: Log in