Instructions

 

To receive a Wish Vacation, the physician, provider or care organization identifies a parent who has a life-threatening illness.  The program is only open to first time Memories of Love Wish Recipients. 

 

Here's How it Works

 

The physician, care taker or potential wish recipient may call Memories of Love at 904-596-2789, or the toll free number at 800-625-1566 for an application packet.  The information is also available on the Memories of Love website at www.memoriesoflove.org.

 

The wish recipient is asked to do the following:

1. Write a letter explaining why this wish vacation would be beneficial to his/her family
2. Complete the Memories of Love application form
3. Send the completed/initialed/signed form along a family photograph to Memories of Love. The forms may be faxed to 904-636-7780 and the original application packet must be sent to:

Memories of Love

4932 Sunbeam Road

Jacksonville, FL  32257

(904)596-2789

info@memoriesoflove.org

 

For additional information please call Memories of Love at (904)596-2789 or (800)625-1566.

 

FORMS:

• Memories of Love HIPAA Form

• Memories of Love Wish Request Application Form  (family photo required and letter described above)

• Memories of Love Medical Authorization

• Wheelchair Acknowledgement Form