Mishebayrach Intake
We have an amazing volunteers that makes calls monthly to check on your loved ones. If your loved ones are feeling better and can be removed from our healing list, please send an email to Coral Wilson cwilson@mosaiclaw.org
Who would you like us to say mishebayrach for (first and last name): *
What is their Hebrew name in English? Note that format is first Hebrew name ben/bat/bnei mother's Hebrew name. (Examples: Moshe ben Sara, Sara bat Moshe, Noa Bnei Adi) *
Please describe what is going on *
Is this critical ( if so, we put the name in BOLD letters) *
What is your first and Last name? (The contact person) *
What is your e-mail
What is your phone number? *
Please describe how much of the information needs to be confidential beyond the office and clergy.
How long should we keep them on the mishebayrach list. Please note if we don't hear from you in 60 days and can't reach you, we may take the name off the list. Thank you.
What is the relationship? *
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