President James E. Faust (1920–2007), Second Counselor in the First Presidency, said: “A patriarchal blessing is a very unique and remarkable privilege that can come to the faithful members of the Church having sufficient maturity to understand the nature and the importance of such blessings. … Like many blessings, they must be requested by the person or by the family of the one desiring the blessing.” 1
If you feel spiritually ready to receive your patriarchal blessing, you should first make an appointment for an interview with your bishop or branch president, who will determine your readiness and worthiness. If he feels you are ready, you will receive a recommend. You may then contact your stake patriarch to schedule an appointment.