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Johanna chose to go have a Girl's Day out with her Mom, shopping and having her nails done.

Johanna chose to go have a Girl's Day out with her Mom, shopping and having her nails done.

Request a Smile

Do you have a child, or know of a child who is battling a life threatening illness and could use a "Smile?" Meg's Smile Foundation can help by providing a special day to take them away from their illness, whether it be a gift delivered to a hospital or home, or a much needed day out and break from hospital visits and treatments. Meg's Smile Foundation is here to help provide a fun-filled day for these special children. In order for a child to be considered for a "Smile," they must live in North Carolina and/or be treated at a North Carolina hospital.

Qualifications for a Smile:

The child must have a life threatening illness.  These illnesses are progressive, malignant, and/or degenerative in nature.*

The child must be treated in a North Carolina facility and/or reside in the State of North Carolina.

Age Requirement – the child must meet the following age requirements:
•  The child must be over the age of two
•  The child must have been diagnosed with their illness prior to their 19th birthday
•  The child must have their smile fulfilled prior to their 26th birthday

* Note, Meg’s Smile Foundation, at its discretion, may request correspondence from the child’s Doctor to confirm their medical condition.

If you would like to submit a request for a child's "Smile," please download and fill out an application (below). When you have completed the form, please re-save the file and upload it with our secure uploader to the right. The Meg's Smile Foundation Board of Directors will review the information and will respond to your request as quickly as we can.

Once a child has been approved for a "Smile," parents will need to fill out a Liability Release Form. Be sure to include the names of all family and friends participating in the "Smile." You can download the form below, save it, then upload it with our secure uploader, or bring the form to the "Smile."

We try to make every "Smile" special for these children. When completing the Intake Form, please be sure to write in the child's interests, what foods they enjoy, what their favorite colors are, anything that can help up create a day that will be perfect for your child!

Download Additional Information:


Meg's Smile Foundation Intake Form

Download this file, fill it out, save it
and send it back to us!

Liability Release Form MSF

Upon approval for a "Smile" outing, parents of the "Smile" recipient will need to complete this form.

 

Submit a Smile Request Online


* Indicates a Required Field


** Applicant must be a resident of NC or must be under medical treatment in NC to qualify for a Smile


We respond by email mostly, please check our response on your email. We try to respond as soon as we receive the referral. Please check your spam mail as well, sometimes it goes to that folder. We can text as well if you prefer a text response please note that in your referral form.

Applicant Information:


Medical Information (Confidential):


Additional Information: