SERVICES REQUEST FORM

SERVICE PACKAGES
For medical treatment in Cuba, the patient must attendt the Placental Histotherapy Center. For this reason the patient must remain in Havana for a minimum of 4 nights and 5 days, since the treatment is carried out on 3 consecutive days.

The patient must discontinue all treatment carried out 45 days before the trip, arriving in Havana on Sunday, Monday or Tuesday to attend the medical appointment the next day.
 
Instructions to fill out this form:
It is possible that when filling out this form you still do not have the date of your trip defined, purchased the air ticket or defined where to stay, but you can also fill it out. By filling out this form, you are indicating that you WILL take our accommodation and transfers services in Havana and in future communications we can define those details.
 
IMPORTANT:
  • If you want us to make the air reservation to Havana, you must tell us in the comments
  • The service packages are prepared with the hotels that are in the vicinity of the clinic, it is not possible to walk but they are a maximum of 10 minutes in a taxi.
  • Packages are for 4 nights and 5 days. If you need more nights or a tourism package, please request it in the comments.
  • You must arrive in Havana on Sunday, Monday or Tuesday.
  • Hotel prices are per person, per night, per room and for the complete package.
  • The prices of the houses for rent are per Room
  • Prices are in usd.
The prices include:
  1. Breakfast
  2. Trip from the airport to the hotel.
  3. Transfer from the Hotel to the clinic on the first day of attendance (the return transfer and the other days are not included).
  4. Transfer from the Hotel to the airport on the day of return.
PRICES OF SERVICE PACKAGES OF 4 NIGHTS AND 5 DAYS
5 STAR HOTELS / SEASONS
Melia Cohiba
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
Simple Room
1O55 659
Double Room
1382 966
Melia Habana
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
Simple Room
1O55 659
Double Room
1382 966
4 STAR HOTELS / SEASONS
Panorama
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
Simple Room
659
632
Double Room
758 694
Miramar
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
Simple Room
559 447
Double Room
800 590
3 STAR HOTELS / SEASONS
Vedado
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
330
 300
Double Room
430 400
Copacabana
From 03/01 to 04/30/2020
From 05/01 to 10/31/2020
455 435
Double Room
600 570
HOUSE FOR RENT / SEASON
Accommodation in a family rental house room
From 03/01 to 31/10/2020
Room for 1 Person
220
Room for 2 Persons
240
Room for 3 Persons
270
Appartment for 1 Persons
290
Appartment for 2 Persons
320
Appartment for 3 and 4 Persons
440
The prices also include:
  1. Reception at the airport on the day of arrival.
  2. Attendance at the clinic on the first day of consultation.
  3. Attention by our representatives in Havana during the days of your stay in Cuba.
  4. Coordination of the tourist services that you wish to carry out in Cuba.

 TREATMENT REQUEST 

Medical Services Providers