O Christ Jesus, I am sinful dust and ashes,
but Thou callest to Thee all who labour and are burdened,
that Thou mayest refresh them.
Art not Thou my refuge?
To whom else shall I go?
Thou hast the words of eternal life,
Thou alone canst comfort me in every trouble.
Lord, I am weak and sick,
but Thou art my salvation.
Those who are well need not a physician,
but those who are sick.
Therefore I come to Thee,
my physical and my refuge,
hoping that this Communion may be to me
the increase of Faith, Hope, and Charity;
a firm defence against the snares of my enemies;
a help to the removal of the fault and defect of
(Mention your faults here…),
and to the bringing forth of works well pleasing unto
Thee,
especially…,
and a pledge of future glory.
This is the hope and desire which I cherish in my heart,
for Thou art compassionate and of tender mercy,
and in all Thy promises most faithful.
Amen.