Please fill out the Following Fields to confirm your Treatment at Dream Body Clinic. Our Scheduling Manager will use this information to schedule your treatments and schedule our driver for airport and clinic transportation.
Very important your full name is here as on your passport to comply with Mexico Health Board Rules. If traveling with others then please add in the 2nd, 3rd and 4th patient fields below. Please put your name as it appears on your passport. This is critical for Scheduling Labwork and MRIs. Thanks.
This question is required
Very important your full name is here as on your passport to comply with Mexico Health Board Rules. If traveling with others then please add in the 2nd, 3rd and 4th patient fields below. Please put your name as it appears on your passport. This is critical for Scheduling Labwork and MRIs. Thanks.
This question is required
COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.
Choose a file
This question is required
COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.
We need the passport number for all patients coming together
This question is required
We need the passport number for all patients coming together
January 1, February 5, March 21, Easter Weekend, May 1, September 16, October 12, November 2, November 20 to 21st, Dec 16th to January 2nd.
January 1, February 5, March 21, Easter Weekend, May 1, September 16, October 12, November 2, November 20 to 21st, Dec 16th to January 2nd.
We need this to confirm flight details as people were not providing correct info below. We take a lot of time to provide transportation and the logistics are difficult so please snap a photo or take a screenshot of your flights and upload here. Thanks.
Choose a file
This question is required
We need this to confirm flight details as people were not providing correct info below. We take a lot of time to provide transportation and the logistics are difficult so please snap a photo or take a screenshot of your flights and upload here. Thanks.
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Please enter a valid date
:
PM
Please enter a valid time
This question is required
This question is required
Sun
Mon
Tue
Wed
Thu
Fri
Sat
Please enter a valid date
:
PM
Please enter a valid time
This question is required
We need this to confirm accomodation details as people were not providing correct info below. We take a lot of time to provide transportation and the logistics are difficult so please snap a photo or take a screenshot of your hotel booking or air bnb confirmation and upload here. If you are staying at a friends then just upload a blank image. Thanks.
Choose a file
This question is required
We need this to confirm accomodation details as people were not providing correct info below. We take a lot of time to provide transportation and the logistics are difficult so please snap a photo or take a screenshot of your hotel booking or air bnb confirmation and upload here. If you are staying at a friends then just upload a blank image. Thanks.
The taxis won't let our drivers pick you up which is why we instead pay for your taxi ride to your hotel
Please choose an answer
The taxis won't let our drivers pick you up which is why we instead pay for your taxi ride to your hotel
This is for multiple reasons. It ensures patients are on time and prevents any weather issues. Thanks for understanding.
This is for multiple reasons. It ensures patients are on time and prevents any weather issues. Thanks for understanding.
If Yes, please list name
This question is required
If Yes, please list name
We can provide a Xanax if needed to help
We can provide a Xanax if needed to help
We accept Visa, Mastercard, American Express, Cash or Crypto
This question is required
We accept Visa, Mastercard, American Express, Cash or Crypto
We ask because once our booking team sends your itinerary they cannot change as we are scheduling around other patients schedules too.
This question is required
We ask because once our booking team sends your itinerary they cannot change as we are scheduling around other patients schedules too.
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Please enter a valid date
We also need to know what Treatment or Medication you will be taking. Please select from the following options. If you don't see what you are requesting then the final field allows you to type in what you want. There is a separate section for more patients. Meaning that if other people are coming with you then they each need their treatments selected also. Thanks.

1st PATIENT TREATMENT FORM BELOW:


2nd PATIENT TREATMENT FORM BELOW: (If no 2nd patient then leave blank)

COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.
Choose a file
COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.


3rd PATIENT TREATMENT FORM BELOW: (If no 3rd patient then leave blank)

COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.
Choose a file
COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.


4th PATIENT TREATMENT FORM BELOW: (If no 4th patient then leave blank)



COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.
Choose a file
COFEPRIS the health board of MX requires that we have this on file plus it helps us have your legal name correct as that is a requirement they also have. You can only upload 1 photo here so this is just for the person filling out the booking form. Other companions have a section like this to upload to below.

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Thank you for filling out this form. We will email you a schedule within the next few days.
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