Name * First name * Address * Address 2 City / Town * Country * Email *
Sex * MaleFemale
Date of birth * Personal phone Cellphone Passport No.
Aesthetic
Stem cell facial rejuvenation therapyPlatelet Rich Plasma (PRP) InjectionsHyaluronic acid injectionsBotox® injectionsThread lifts
Revitalization & anti-aging treatmentDetox treatmentBio-resonanceZ100 anti-aging therapyTherapeutic body massagesEpigenetic test
Revitalization & anti aging
Medical check-upRevitalization treatmentDetox treatmentBio-resonanceZ100 anti-aging therapyEpigenetic test
Therapeutic body massageKobido - faceChi Nei Tsang - bellyFoot reflexology
Nutritional
Micronutrition (outpatient basis)Detox WellnessNutri-detox plusWater fasting
Colon hydrotherapySound therapyAyurvedic AbhyangaAyurvedic Chavutti ThirumalHot-stone massageShiatsuEpigenetic test
3 days4 days5 days
Preferred dates for your stay
From *
to *
Preferred accommodation Single Prestige Junior SuiteDouble Prestige Junior Suite
Half-board or Full board ? no cateringHalf-boardFull board
Mode of transportation: By your own meansLimousine
Hours
CashBank transferCredit card
In order to confirm your reservation, please select one of the following options:
Down payement
Bank transferCredit card
Card number
Payment of a deposit of CHF 3,000.- per person.
Health Center Clinique Lémana Banque UBS • 1801 Le Mont-Pèlerin • Suisse IBAN: CH66 0024 9249 G551 3701 0 SWIFT/BIC: UBSWCHZH 80 A
Health Center Clinique LémanaChemin de l’Hôtel Mirador 5CH – 1801 Le Mont-PèlerinSwitzerland
Phone: +41 (0)21 961 38 12Fax: +41 (0)21 961 38 13admin @ lemana.com
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