Please provide us
with the individual's Hebrew name
and
the individual's mother's Hebrew
name. If Hebrew name is unknown,
please provide English name. Also,
please let us know how long the
Blessings for Restoration to Health
will be required.
May it be the will
before you Hashem, My G-d, and the
G-d of my Forefathers, that You send
quickly a healing which is complete
from Heaven: A healing of spirit,
and a healing of body to (name):
Hebrew Name:
________________________________
Ben (meaning: son of) or Bas(Bat)
(meaning: daughter of)
Mother's Hebrew name:
________________________