How the Wish Process Works

Starting a wish may feel overwhelming at first, but the process is designed to be simple and supportive for families. From the initial referral to the moment a wish comes true, the A Special Wish team guides each step with care.

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A collection of five stylized, four-pointed yellow sparkling stars of varying sizes against a white background.

Turning a Wish Idea Into a Real Experience

Three Common Types of Wishes

Children often begin the wish process with a simple idea or dream. To help families explore possibilities, wishes typically fall into three broad categories.


  • A Special Gift
    Some children wish for something meaningful they can enjoy at home, such as a gaming system, backyard play structure, or creative equipment.
  • A Special Place
    Travel wishes allow families to experience destinations such as theme parks, beaches, or other memorable locations.
  • A Special Hero
    Some children wish to meet someone they admire, such as an athlete, performer, or public figure.


These categories help families begin imagining what type of wish would feel most meaningful for their child.

The Path From Referral to a Child’s Wish

A Clear Step-by-Step Process

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Referral Submission

A parent, guardian, healthcare professional, or social worker submits a referral so the organization can begin reviewing eligibility.

Medical Eligibility Confirmation

The child’s medical provider verifies that the child has a physician-diagnosed life-threatening illness and meets the program guidelines.

Wish Discovery

The A Special Wish team talks with the child and family to learn about interests, dreams, and ideas for a possible wish.

Wish Planning and Coordination

Staff and volunteers begin planning the details of the wish, coordinating schedules, travel plans, or experiences as needed.

Wish Celebration

The wish is granted and celebrated with the child and family, creating a joyful moment during a challenging time.

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What Families Can Expect During Planning

Support Every Step of the Way

Once eligibility is confirmed, the planning stage begins with collaboration between the organization and the child’s family. The A Special Wish team works directly with families to understand the child’s personality, interests, and medical needs so the wish can be safely and thoughtfully arranged.


Every wish is different, which means timelines may vary depending on scheduling, travel coordination, and the child’s health situation. Some wishes involve planning experiences close to home, while others may include travel or special events. The goal is always to create a meaningful experience that reflects the child’s dream while making the process as smooth as possible for the family.

Questions Families Often Ask About the Wish Process

Helpful Answers Before You Begin

  • What happens after I refer a child?

    After a referral is submitted, the organization reviews the information and works with the child’s medical provider to confirm eligibility. Once eligibility is confirmed, staff members reach out to the family to begin learning about the child and their wish ideas.

  • How long does it take to plan a wish?

    The timeline can vary depending on the type of wish and the child’s medical needs. Some wishes may be arranged more quickly, while others require additional planning or coordination with travel providers and community partners.

  • Who helps plan the wish?

    The wish planning process is guided by the A Special Wish team with help from volunteers, donors, and community partners. Families are involved throughout the process so the wish reflects what the child truly wants.

  • What if my child cannot communicate their wish clearly?

    If a child is nonverbal or has difficulty communicating, the team works closely with parents, caregivers, and others who know the child well. Together they help identify what would bring the child the most joy and create a wish experience around those insights.

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Ready to Begin a Child’s Wish Journey?

Start With a Simple Referral

The first step in granting a wish is submitting a referral so the team can review eligibility and begin working with the family. Once a referral is received, the A Special Wish Foundation guides the next steps and helps turn a child’s dream into a real experience.



Families across Southwest Ohio—including communities such as Cincinnati, Hamilton, Middletown, Springfield, and Beavercreek—have started their wish