Refer a Child for Support

Help us reach children who need urgent medical care. Every referral is reviewed with care and compassion by our team.

Application Form

Please provide as much detail as possible to help us understand the child's needs. The completed referral will be sent to our review email for offline verification before anything is published.

Email-first referral flow

Submitting this form opens your email app and drafts a referral to timileyinomomurewa@gmail.com. Our team verifies details offline before uploading approved cases manually in admin.

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Child Information

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Contact Information

What happens next? This referral is sent to our review email, where our team verifies the details offline within 3-5 business days. Approved cases are then uploaded manually through the admin dashboard.