Mi Sheberach Form

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North Suburban Synagogue Beth El
Mi Sheberach

Community prayers for people in need of healing. At NSS Beth El, we care about and take care of each other. To add your name or the name of a loved one to our Mi Sheberach list, complete this form.

* Your First Name

* Your Last Name

* Your Email

* Your Phone

* English Name of person needing Mi Sheberach

* Hebrew Name of person needing Mi Sheberach

(in Hebrew or English transliteration)

* Mother's Hebrew Name of person needing Mi Sheberach

(in Hebrew or English transliteration)

* Date to Start saying the Mi Sheberach

* Date to Stop saying the Mi Sheberach

If no date is given, we will automatically discontinue the Mi Sheberach after two months.
If you would like us to continue longer, please complete this form again in two months

Reason for Mi Sheberach

We invite you to share the reason for your Mi Sheberach request, if you feel comfortable doing so. This helps us understand your needs better and ensures our prayers are more meaningful and personalized. Your information will be treated with utmost respect and confidentiality.

Please provide any details you are comfortable sharing:

Bikur Cholim Caring Community

Bikur Cholim visits ensure that nobody feels forgotten during a difficult time in their lives. Our Bikur Cholim Caring Community provides visits to members of our community when they are ill.

* Would you (or your loved one) like to be contacted by the Bikur Cholim Caring Community?

Please Select OneYesNo

* Would you (or your loved one) like a phone call from clergy?

Please Select OneYesNo

Phone Number of person needing Mi Sheberach

* Would you (or your loved one) like a clergy visit?

Please Select OneYesNo

Mon, April 7 2025 9 Nisan 5785