Making Her Heart's Wish a reality ...

Any person may request a wish on behalf of a woman facing a terminal illness, including the woman herself. Wishes should reflect the specific desire of the woman and meet the selection criteria. Requests for monetary gifts, real estate or automobiles are generally not able to be granted. Following receipt of the application packet, a HHW representative will contact the wish recipient directly.

 

 

Application process

The application process involves the wish description, a medical documentation form and the wish contract. These forms may be printed directly from the web site and either mailed, faxed or emailed to Her Heart's Wish. The Contact Us page contains the mailing address, FAX number and email addresses for the wish granting team.

HHW Applicant Forms

Read and Print HHW Application

Read and Print HHW Medical Statement

Read and Print HHW Agreement

 

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Her Heart's Wish
P.O. Box 294 Lititz, PA 17543

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