Mi-Sheberachs - Anshei Lubavitch

Anshei Lubavitch

Mi-Sheberach Request

Prayers for a Refuah Shleimah

Add a person who is suffering from a severe illness to the list of people for whom we pray for healing during the Torah reading on Shabbos and Yom Tov.

Fields marked * are required.

The Person Who Is Ill

Name for the Mi-Sheberach Hebrew name • ben / bat • mother’s Hebrew name

Hebrew Given Name(s) * If the Hebrew name is unknown, just type the whole secular name here. Please enter the person’s name.

Gender *

Male (ben) Female (bat)

Please choose one.

Mother’s Hebrew Given Name(s) * If unknown, or the person is a convert, we often use Sarah, who is mother of us all. Please enter the mother’s name (or Sarah).

Secular Name(s)

How Long Should We Say It? The name comes off the list after this date unless renewed

Expiration Date * Choose the last date to include this name. You can renew it anytime with this form.

Please choose an expiration date.

Status Change only on a follow-up (for example, the person is no longer ill).

Your Information

Requested By So we can reach you with any questions

Your Name * Please enter your name.

Phone Number * Best number at which to reach you. Please enter a phone number.

E-mail Address Please check this e-mail address.

Context or Other Comments Nature and expected length of the illness, or anything you would like us to know.

Please fill in the highlighted fields above.

Thank you

The name has been received.

May they have a refuah shleimah.

רְפוּאָה שְׁלֵמָה
בְּתוֹךְ שְׁאָר חוֹלֵי יִשְׂרָאֵל

Anshei Lubavitch
10-10 Plaza Road, Fair Lawn, NJ 07410
201-794-3770 • info@flchabad.com