Refuah List

Providing support to congregants and their loved ones in need of healing is an important mitzvah. If you or a loved one would like to be included in our Refuah (Healing) prayer list, please fill out the form below.

Please contact the Har Shalom office at (301) 299-7087 to provide any updates to entries on this form.

Once a name has been on the Refuah list for a month, the Har Shalom Office will contact the related congregant to follow up and inquire if the name should remain on the list.

NOTE: Every field MUST be filled out to the best of your ability (Unknown is an acceptable answer).

* Date of Request

Ongoing/Long-TermAcute/Shorter Term

* English Name of Sick Person

* Hebrew Name of Sick Person

* Relationship to Congregant (including Congregant's Name)

* Nature of Concern

* Contact # for Information for Sick Person (if applicable)

Sat, December 21 2024 20 Kislev 5785

Congregation Har Shalom
11510 Falls Road | Potomac, MD 20854
Tel.: 301-299-7087 | Fax: 301-299-2247

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