Prayer Request Card
For Those Who Seek Healing
Name of person needing prayers/healing:
Parishioner of Our Mother of Sorrows Parish?
Your Name:
Your Address (Street, City, State, Zip):
Your Phone:
Your Email:
Reason for requesting prayers for healing:
If applicable: Name of Hospital:
If applicable: Date of operation:
MM
/
DD
/
YYYY
Would this person like to receive a visit from the Pastoral Staff?
Clear selection
Would this person like to be on the Homebound Communion list?
Clear selection
Would this person like to receive the Anointing of the Sick?
Clear selection
Submit
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