NAME:
LAST NAME:
PHONE:
EMAIL:
ARRIVAL DATE:
SURGERY DATE:
DEPARTURE DATE:
DOCTOR´S NAME:
PROCEDURE:
COMENTS:
PICKUP:

To confirm a reservation a $150.00 warranty deposit is required. It will be applied to your first recovery night. We don't reimburse warranty deposits, but will apply it to your next reservation if your surgery was re-scheduled within the following 3 months. The balance is paid upon arrival. All deposits and final payments have to be made with a money order, cashier's checks or cash.

WE DON NOT TAKE CREDIT CARDS.