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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.

Make-A-Wish® Texas Gulf Coast & Louisiana
12625 Southwest Freeway
Stafford, TX 77477
(281) 491-9474

Make-A-Wish® Texas Gulf Coast & Louisiana, Louisiana Office
3340 Severn Avenue
Suite 350
Metairie, LA 70002
(504) 846-9474
Toll Free (888) 677-9474