Mi Shebeirakh Request
If you have a loved one, family member or friend to pray for healing of body, mind, or spirit, please complete this form. Please do so for each individual who requires a prayer of healing.
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Your Name *
Your phone number or email (so we can follow up with you) *
Healing Prayer is for... (full name) *
If you are willing, nature of illness (will not be shared with anyone except the caring committee and clergy)
For how long should this prayer continue? *
Submit
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