Refer a Child

SMILE relies on referrals from medical professionals (doctors, nurses, social workers, and physical and occupational therapists). With the assistance of the referring professional SMILE works to determine a child’s eligibility for specific goods or services.

Please return completed forms to

Who is eligible?

Children between the ages of 0 and 26 who have been impacted by a life-threatening condition are potentially eligible to make a request. Applicants must have or have been diagnosed with a life-threatening condition. Applicants do not need to be currently undergoing treatment.

What can a child request?

Potential SMILE Kids can apply for any item that will enhance their quality of life. SMILE strives not to duplicate services, so if another nonprofit provides the services or item being requested, SMILE will refer the child to that organization.

Who can refer a child?

Potential SMILE Kids, family members, physicians, friends, guardians or medical team members with intimate knowledge of the child’s diagnosis can initiate contact with SMILE and begin the referral process.

SMILE will not provide:

  1. Home modifications requiring building permits.
  2. Vehicles. Except: Lifts that can be added to a vehicle’s hitch.
  3. Support dogs. (Medical Alert dogs and guide dogs are considered on a case-by-case basis, but full funding is not usually provided).

Application &
Approval Process

SMILEs applications are accepted and approved on a rolling basis. We ask that applicants request everything they want with a piece of equipment (not just what they can ‘make do with’). Time from application to delivery is dependent on a number of factors.
  • Step One

    Submit application

  • Step Two

    Application is reviewed for completeness and additional information is requested if needed to fulfill request

  • Step Three

    Application is reviewed and then approved or denied

  • Step Four

    Equipment is ordered and additional information is collected for delivery
  • Step Five

    Delivery day & Meet and Greet
  • Step Six

    Follow-up survey

"Samantha Makes It a Little Easier"

Contact Us

249 Central Park Ave,
Virginia Beach, VA 23462


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