Misheberach Request Form

Where it says "Enter a Name," above, please enter your name (as the person filling out the form). Also, please disregard the message that says "None, will be Public." That little note, which is automatically generated by our website, is not related to how your or anyone else's name will appear on the Misheberach list—just ignore it.

The Misheberach is one of the central Jewish prayers for those who are ill or recovering from illness, surgery, accidents, or other health challenges. The prayer takes its name from the first two words: “mi" and "sheberach,” meaning “the One who blessed.” It asks that the One who blessed our ancestors bring about a complete healing for the person for whom the blessing is said.

At Havurah, we say the Misheberach whenever we read Torah and during our Friday services. The name submitted through this form will be read at all of these times. If you submit your request by Sunday evening, the name will be included in the Misheberach prayer during the coming week. If you submit it later than Sunday, it will be added to the list the following week. To keep the list a manageable length for service leaders, please submit only the names of your relatives and/or Havurah members. All who attend our services will be invited to say the names of people in need of healing, too, so additional names can be included then.

We will keep the name you submit active on our list for one month unless you specify otherwise below. After one month, you may resubmit your request if you wish to add the name to our list again. Any names submitted here will only be used as directed through this form.

This Misheberach list is named in honor of Karen Labinger, of blessed memory, a longtime member who lovingly kept a list of names to read whenever the Misheberach was said at Havurah.

Your first and last name

Your email address

English name of person to add to Misheberach list

Hebrew name, if known

Please indicate which of the following should be read aloud during the Misheberach.

English name onlyHebrew name onlyBoth English and Hebrew names

If the person is a relative, please indicate their relationship to you.

If you want the name to remain on the list for a duration other than one month, please indicate the date to remove it.

We will remove the name on the Monday following the date.

IF YOU'RE NOT CERTAIN that the person whose name you're submitting wants their name read aloud, please check "do not read this name aloud" below.

DO NOT read this name aloud during the Misheberach.Yes, please read this name aloud during the Misheberach.Even if the name isn't added to the Misheberach list, you can request that Rabbi Benjamin, Bikkur Holim, or Lotsa Helping Hands be notified of the person's need for help.

If the person whose name you're submitting is a Havurah member, would you like us to share this information with Rabbi Benjamin, Bikkur Holim, or Lotsa Helping Hands?

Rabbi Benjamin*Bikkur Holim**Lotsa Helping Hands***Thank you, but no extra help is needed.

* Rabbi Benjamin provides moral and spiritual support to Havurah members.

** The Bikkur Holim Committee provides spiritual support for Havurah members who are ill or grieving and encourages members to practice bikkur holim, visiting the sick, and the mitzvah of nichum aveylim, comforting the mourner.

***Through Lotsa Helping Hands, Havurah members can provide tangible support such as visits, meals, or transportation for other Havurah members during stressful times, including illness, accidents, or surgery.

Comments (optional):

To add another name to the Misheberach list, click on "submit" below, then on "submit another name" when prompted.

Havurah Shalom