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Please check all treatments that are of interest.

Crowns
Gun Surgery
Veneers
Tooth-coloured fillings
Bridges
Root Canals
Implants
Bone Graft
Inlay / Onlay
Dental Extraction
Bleaching
Night Guard
Soft Tisseu Surgery
Other (Please Specify)
Wisdom Tooth Surgery
Please upload X-rays, pictures so we can evaluate your case

Please check all activities that are of interest.

White Water Rafting
Canopy Tours
Nature Watching
Hiking
Mountain Biking
Horseback Riding
Surfing
Wind Surfing
Scuba Diving / Snorkeling
Deep Sea Fishing
Caving
Golf
Rock Climbing / Rappelling
Casino / Gambling
Camping
Harley Davidson Rides
Other (Please Specify)
   

Please check all destinations that are of interest.

Beaches
Volcanoes
Hot Springs
Waterfalls
Rain / Forest
San José / Central Valley
National Parks / Reserves
   
Other (Please Specify)
   

For this package, I am interested in the following accommodations

3-star plus / Standard Package
4-star / Deluxe Package
5-star / Luxury Package
Medical Hotel Facility

Nursing requirements:
    yes

Transportation

   
   
   

Please describe any food preferences, handicaps or medical / health limitations.

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