Directions For Use:
Please fill out the form below and click the 'Submit' button. All fields are required with the exception of the Comment field.
After submission of a name, that person will be added to the Refuah Shelama list that will be read in shul on the following Shabbat. The choleh will be kept on the list for a period of 4 weeks unless you specifically ask for an extension. You can use the comment field for this purpose.
If you have any questions, you can email Gary at Refuah List

Click here to view current Refuah list

Your Name:
Choleh's Name:
Your Phone:
Your Email Address:
Comments: