Pastoral Requests

ACI is committed to serving our community’s needs. If you would like to add a name to our Mishaberach list, inform the synagogue about a hospital visit or death, or request pastoral care for yourself or someone you know, please fill out this simple form. All submissions are confidential.

Name *

First Last

Email *

Phone

Address

Address line 1 Address line 2 City State ZIP

I am contacting you about

Me A member of my family Someone else

Please keep my submission anonymous.

In a few sentences, describe how we can be of service to you during this time.