Kol Tikvah Parkland Temple

We encourage prayers for those who are ill. If you would like the name of an ill loved one added to or removed from our Misheberach list, please complete the form below. We will include their name when the Misheberach prayer is recited during the Shabbat service.

Your Full name
Your Email Address
Your Phone Number
The following person should be	Added Removed
English name of the ill person
Hebrew Name of the ill person
Hebrew name of the ill person's mother:
Nature of illness
Your relationship to this person
Anticipated time of recovery:
Please include location of patient and any additional information you wish to share here: