CLIENT REGISTRATION FORM

Gender
Marital status


Traveller’s details

Are there children under the age of 12?
Do you need disability services?
Does any of the traveller require medical care during the trip?


Medical Tourism Services


First traveller:

Sample signature

Please enter your sample signature in the box opposite


Medical diagnosis:
Do you have full knowledge of the condition you are suffering from?
Do you have reports and medical check-ups about the condition you suffering from?
Would you like to take a medical virtual consultation with a doctor in Shiraz before traveling?
Do you need medical staff accompaniment while traveling?
Do you need a wheelchair while traveling?

Medical Condition:
Have you had any previous treatments or surgeries?
Do you have any medical records or related test results?
Do you have any medical conditions that healthcare providers should be aware of?
Are you taking any medications currently?
Do you have any allergies to medications or treatments?
Do you smoke?
Do you suffer from any genetic diseases?
Do you suffer from one of these diseases?

Accommodation in Shiraz:
What type of accommodation do you want?
Meals:
Are you allergic to some foods?
Accommodation includes breakfast.
Accommodation includes lunch
Accommodation includes dinner.

Services provided with the packages:
• Transportation is included in the packages for your care and safety.
• Translation services are included in the packages for your comfort and reassurance.
• A 24-hour hotline is available for any emergencies. For inquiries, please call (711).
• There is an office in Shiraz to serve you upon your arrival at Shiraz Airport, for your care, assistance, and support.

Tourist and Recreational Services

We are the gateway to happiness, taking you to the land of happiness with its breathtaking nature, pleasant atmosphere, and enchanting views of trees and flowers in Shiraz.
Departure Date:
Return Date:

What do we offer you during your trip with us?
• We accompany you from the beginning until your safe and satisfied return home.
• You can make financial payments at our branch in Oman to avoid currency fluctuations and price increases in Shiraz.
• We have an office at Shiraz airport that will receive you provide immediate service.
• We provide you with secure and comfortable transportation so that you can travel with a smile and happiness.
• We offer Arabic or English translation services.
• We provide you with safe and comfortable accommodation through ouragents in Shiraz.
• We provide you with all daily meals according to your choice.
• We provide you with an activated phone SIM card with internet and calling capabilities.
• We offer you nature tours, visits to landmarks, markets, and entertainment venues.
• We provide you with all the care, protection, advice, and a close understanding of the culture.
We take you on visits to some farms to experience picking fresh fruits.
• We take you to artisan workshops that showcase the true artistry and beautiful engravings.
• We are not just a travel agency, but your friends in travel and exploration.

We are always pleased to serve you (we take care of you and your family)