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Wichita's Littlest Heroes "Refer a Hero"

WLH is a non-profit organization for children (Heroes) ages 0-18 in Kansas with one or more life-threatening medical conditions! We are so excited that you have found Wichita's Littlest Heroes and look forward to meeting your Hero family. We love to hear about what makes your family unique and all about your medical journey. WLH is here to ease the everyday burdens and provide HOPE, HELP & HAPPINESS! ​ Our REQUIREMENTS to join are you must live in the state of Kansas, and for your child's illness to meet "life-threatening status." This means without proper medical care and parent support this illness could result in death. Unfortunately, Autism & Downs Syndrome diagnosis ALONE are not diagnosis' we serve, UNLESS there is a secondary medical diagnosis. If you have any questions or concerns please feel free to call or email our office at 316-364-3354 or brianna@wichitaslittlestheroes.com.

Please fill out the following document. Have your child's physician sign and attach the completed form.
Download Form Here: https://bit.ly/3dFxjWy *ELECTRONIC SIGNATURES ACCEPTED*
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Hero Gender
Hero T-Shirt Size
Street Address, City, State, Zip
County
(Please list life-threatening conditions first then all others)
Category of Diagnosis
Siblings (Name, DOB, Gender)
ie. John, 01/24/2019, M Jane, 05/22/2000, F
  • {name}
Hero Ethnicity - Select All That Apply
Annual Household Income
ie. 3 Adults 2 Children
Which BEST Describes Your Household?
Are you interested in volunteering?
How did you hear about the Heroes?
What do you hope to get from being a member of Wichita's Littlest Heroes?
  • {name}
What challenges does your family face most due to your child's diagnosis?

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