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Prayer Requests
Submissions are shared with the MyCatholicDoctor organization (providers & staff) and our prayer team to be kept in prayer. This form is not to be used for confidential health information.
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Name
*
Your name is optional. Please select "Anonymous" if you do not wish to share a name. If you wish to include a name, please enter name in the "Other" line.
Anonymous
Other:
Prayer Request
*
Your answer
Once a month, a Mass is offered for intentions that were submitted during the previous month. A confirmation may be emailed or mailed to you, if you wish.
To receive a confirmation, please include your email address OR mailing address below.
Email Address
This is optional. Please enter your email address if you wish to receive an email confirming your prayer request was included in the Mass intentions.
Your answer
Mailing Address
This is optional. Please enter your mailing address if you wish to receive a letter confirming your prayer request was included in the Mass intentions and/or prayed for by our Prayer Team members.
STREET ADDRESS, CITY, STATE, ZIP CODE
Your answer
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