Mother of perpetual Help,
you know how much I suffer because of my sickness.
Not only my body but my soul is also affected.
I do not even have the strength to pray as I should.
Nothing gives me any relief.
Even the visits and compassion of my friends bring me no comfort.
My courage is beginning to fail;
impatience and sadness are having their effect on me.
Most tender and loving Mother,
in my feelings of distress,
I put all my trust in you.
Your compassionate heart will surely have pity on me.
do not forget your devoted, afflicted child's
[Mention your intention(s) here...]
Ask your Son, Jesus,
to give me the courage and strength
to accept my sickness as the will of God
and to bear it with patience and resignation.
If it is God's will,
intercede for me in recovering my former good health;
but if it is God's will that I continue to suffer, or,
that this sickness should lead me to a better life,
I am perfectly resigned.
I am confident you will obtain the grace
to do whatever God asks of me.