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Hotel reservation

Reservation / Quote
Reservation Quote
Your address
Name*		First Name *
Street *		Post Code / Town *
Telephone *		Fax / E-Mail *
Arrival *		Departure*
No. of persons *		Children (Age)
Room number
Bath Shower Invalid shower             Double Room Single room Additional bed             Full pension Half board B & B             List price Weekly rate Clinic visitor
General condition
Are you independent Do you need „external“ nursing? Must be organised by yourself (accompanying person or Spitex) Therapy yes Please make contact with the Ambulatorium of the Klinik Valens to reserve the therapy places. Therapy no Attention: Doctor‘s appointments and therapy cannot be booked at short notice.
Remarks
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