Share Your Story – Wishes That Came True

Please use this form to submit information so that OHCF can help share information about the wonderful memory that you helped make for a Senior who had a wish come true.

*(denotes required field)

Wish Information

Individual the Wish Was For (name, age, brief description):

Date & Location Wish Experience Occurred:

Description of the Wish & How it Came True:

Sponsors or Contributors (if applicable):

Links to news stories or press releases (if applicable):

Submit photos to accompany your story:

Acceptable file types: doc,pdf,txt,gif,jpg,jpeg,png.
Maximum file size: 1mb.

Senior Wish Coordinator Information

Facility/Company Name: *

Contact Name: *

Title: *

Email: *

Phone: *

Release Agreement (required for submission)

By submitting this information I agree to have my information and submitted images used by the Oregon Health Care Foundation (OHCF) and/or the Oregon Health Care Association (OHCA). I understand that the information or images will be used in a positive manner and that OHCF and OHCA have unlimited use of my pictures or images under this agreement. *

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Share Your Story

Share Your Story – Wishes That Came True

Wish Information

Senior Wish Coordinator Information

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