World Health Spas — One, Two, and Three Week, all-inclusive (alcoholic beverages not included) Wellness Retreats in Poland

Health is your most valued treasure!

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Guest One Information

Have you been treated in a hospital during the last 12 months?

If yes, please explain when, where, and for what reason below.

Please list your reasons for coming to the spa (check all that apply):

Improve General Health
Back Pain / Neuralgia
Orthopedic Diseases
Muculoskeletal system
Osteoporosis / Osteoarthritis
Rheumatoid Arthritis
Arterial Disease / Leg Ischemia / Arteriosclerosis / Reynaud's Disease Gout / Diabetes / Obesity

Endocrine Disease
Skin Disease / Psoriasis
Respitory Disease / Asthma / COPD
Cardiovascular Disease / Hypertension
Nueral System
Other

Guest Two Information (Optional)

Have you been treated in a hospital during the last 12 months?

If yes, please explain when, where, and for what reason below.

Please list your reasons for coming to the spa (check all that apply):

Endocrine Disease
Skin Disease / Psoriasis
Respitory Disease / Asthma / COPD
Cardiovascular Disease / Hypertension
Nueral System
Other

Trip Preferences

Please select up to three desired departure dates below (Saturdays Only) at least 90 days from current date:

Desired Departure One

Desired Departure Two

Desired Departure Three

Please select the desired length of stay. For maximum health benefit, stays of at least two weeks are recommended.

Please let us know below if you have any other special needs or requests:

Contact Us Today

1-800-457-5690

amepolSpas@gmail.com

Amepol Inc. - World Health Spas
500 La Terraza Blvd, Ste 150
Escondido, CA 92025

Office: Amepol Inc. - World Health Spas
500 La Terraza Blvd, Ste 150
Escondido, CA 92025

Call Us: 800-457-5690