Refer a Child


All children between the ages of 2 ½ and 18 who have been diagnosed with a life-threatening illness and either live or are treated in Northeast Florida or Southeast Georgia are eligible for a dream. Children must be referred by their physician and have all activities approved.

Who can refer a child

Children eligible for a dream may be referred by medical professionals, parents and legal guardians.

Referral form

A child may be referred to Dreams Come True through our online referral form, or by contacting our Dream staff at (904) 296-3030. Physicians wishing to refer a child, please contact Courtney Andrews at (904) 296-3030 or

Questions about referring a child or regarding our dream process, please visit our Frequently Asked Questions section or call our office at (904) 296-3030.

Online Referral Form

First Name *

Last Name *

Your Email *

Your Phone Number *

Childs First Name *

Childs Last Name *

Childs Age *

Childs Date of Birth *

Childs Sickness *

Child's Primary Physician (for their illness) *

Primary Physician's Office Number *

Relationship to Child *

Child's Parent's Full Name *

Child's Address *

City *

State *

Zip *


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