The Koren Shalem Siddur; Ashkenaz, The Cycle of Life, Confession before Death
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מוֹדֶה אֲנִי לְפָנֶֽיךָ, יהוה אֱלֹהַי וֵאלֹהֵי אֲבוֹתַי, שֶׁרְפוּאָתִי וּמִיתָתִי בְּיָדֶֽךָ. יְהִי רָצוֹן מִלְּפָנֶֽיךָ, שֶׁתִּרְפָּאֵֽנִי רְפוּאָה שְׁלֵמָה, וְאִם אָמוּת, תְּהִי מִיתָתִי כַּפָּרָה עַל כָּל חֲטָאִים וַעֲוֹנוֹת וּפְשָׁעִים שֶׁחָטָֽאתִי וְשֶׁעָוִֽיתִי וְשֶׁפָּשַֽׁעְתִּי לְפָנֶֽיךָ. וְזַכֵּֽנִי לָעוֹלָם הַבָּא הַצָּפוּן לַצַּדִּיקִים. תּוֹדִיעֵֽנִי אֹֽרַח חַיִּים, שֹֽׂבַע שְׂמָחוֹת אֶת־פָּנֶֽיךָ, נְעִימוֹת בִּימִינְךָ נֶֽצַח׃
מוֹדֶה אֲנִי I acknowledge before You, LORD my God and God of my ancestors, that my cure and my death are in Your hands. May it be Your will to send me a perfect healing. Yet if my death is fully determined by You, I accept it in love at Your hand. May my death be an atonement for all the sins, iniquities and transgressions I have committed before You. Grant me of the great happiness that is stored up for the righteous. Make known to me the path of life, in Your presence is fullness of joy; at Your right hand bliss for evermore.
אֲבִי יְתוֹמִים וְדַיַּן אַלְמָנוֹת, הָגֵן בְּעַד קְרוֹבַי הַיְקָרִים, אֲשֶׁר נַפְשִׁי קְשׁוּרָה בְּנַפְשָׁם. בְּיָדְךָ אַפְקִיד רוּחִי, פָּדִֽיתָה אוֹתִי יהוה אֵל אֱמֶת׃ אָמֵן וְאָמֵן.
אֲבִי יְתוֹמִים Father of orphans and Justice of widows, protect my cherished family, whose souls are bound with mine. Into Your hand I entrust my spirit. May You redeem me, LORD, God of truth. Amen and Amen.
יהוה מֶֽלֶךְ, יהוה מָלָךְ, יהוה יִמְלֹךְ לְעוֹלָם וָעֶד.
The LORD is King, the LORD was King, and the LORD will be King for ever and ever.
בָּרוּךְ שֵׁם כְּבוֹד מַלְכוּתוֹ לְעוֹלָם וָעֶד.
Blessed be the name of His glorious kingdom for ever and all time.
יהוה הוּא הָאֱלֹהִים.
The LORD, He is God.
שְׁמַע יִשְׂרָאֵל, יהוה אֱלֹהֵֽינוּ, יהוה אֶחָד׃
Listen, Israel: the LORD is our God, the LORD is One.