The Marty Lyons Foundation, Inc. (MLF) is a not for profit organization providing “special wishes” for children with life-threatening or terminal illnesses. The Foundation is not affiliated with any other organization having similar objectives. Applications will be accepted only for children chronologically aged three (3) through seventeen (17) years. Children must also reside or receiving medical treatment within the Foundation’s designated geographic locations: Alabama, Connecticut, Florida, Georgia, Maryland, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Texas and Virginia. Applications for a second wish will be accepted only under exceptional medical circumstances. Typically, this second wish will be not be granted if the prior wish was completed within the past 24 months.
The Marty Lyons Foundation receives referrals for potential wish children from parents or guardians of the child and medical professionals. In compliance with Health Insurance Portability and Accountability Act (HIPAA), we respect the privacy of the children and families we serve. All information is kept confidential and will not be discussed with outside parties unless it is needed for the wish, and the parents or guardians have consented.
- There are 4 pages required to apply for a wish: Parent Application, Physician Form, MLF Release and Indemnity Form and the medical facility’s Authorization to Release Healthcare Information which has been generally referred to as the HIPAA form. HIPAA NOTICE: – The United States Congress enacted the Health Insurance Portability and Accountability Act (HIPAA), which took effect on April 14, 2003. HIPAA was designed to protect patients’ medical records and other health information provided to health plans, doctors, hospitals and other health care providers. In order to comply with this federal law, The Marty Lyons Foundation, Inc. requires that the parent/legal guardian acquire the Authorization to Release Healthcare Information Form from the medical facility where their child is receiving treatment, sign and send in as the 4th page necessary to apply for a wish.
- MLF must receive within 60 days a complete original set of each of the 4 pages mentioned above. All paperwork must be signed, notarized where appropriate and mailed to the foundation’s headquarters. Incomplete wish applications will be closed after 60 days of receipt of any of the documents mentioned above. Applicants will need to reapply should this happen.
- In cases of guardianship, proper documentation must be submitted to the Foundation.
- Wish applications go through a background check with local wish granting organizations to verify whether the child was a wish recipient.
- Please be specific regarding the child’s “special wish.”
- All expenditures must be made directly by the Foundation; consequently, the Foundation cannot accept an application where parents or guardians for a child’s wish have already expended funds.
- Questions may be directed to the Foundation office by calling 631-543-9474 during normal business hours or via email: firstname.lastname@example.org