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BOOKING FORM
*
Indicates required field
Name
*
First
Last
Address
*
Line 1
Line 2
City
State
Zip Code
Country
Phone Number
*
Email
*
Date of Arrival
*
dd-mm-yyyy
Arrival Time
*
Check-in time is 12 PM.
Date of Departure
*
dd-mm-yyyy
Check-out Time
*
Check-out time is 11 AM.
Type of Rooms
*
Twin Sharing Room
Single Room
In Comments please clarify your requirements about rooms.
Number of Rooms
*
Single Person Room or Twin Sharing Room with 2 single beds.
Name of Consulting Doctors
*
I have been explained, in my own language the facilities available at the "Stay Facility" & its rules and regulations and I have understood the same.
The Food will be outsourced and provided as per the consulting doctor's advice or you can arrange your own food.
The submission of this form makes a reservation, for a "twin sharing room/Single Room".
Any changes prior the scheduled occupancy should be communicated to us at least 48 hours prior, which may be subjected to availability of request.
Comments/Further Requirements
*
Submit
Home
About
Ayurveda
Our team
Success Stories
Privacy Policy
Fertility
Planning for a baby
Male Infertility
Female infertility
Irregular Periods
PCOD/PCOS
Low AMH Pregnancy
Support with IUI / IVF
Pregnancy & Post-pregnancy Care
Chronic Diseases
Treatments
Consultation
Our Medicines
Panchakarma
Hair and Skin care
Joint pain relief
Swarnaprasha
Stay Facility
Blog
Contact