BOOK PRIVATE CARE AT YOUR HOTEL OR LOCATION

THIS FORM IS ONLY FOR PRIVATE CARE IN YOUR HOTEL OR AIR BNB – IF YOU ARE TRYING TO BOOK A STAY CLICK THE DANI’S DOLL HOUSE LINK

Your Name (required)

Your Email (required)

Phone (required)

Surgery Date:

Services Needed:


Additional Info - Where Will you be staying

Procedures

Transportation Needed Yes or No:

Doctor

Real Self Name

IG Name

Date of Birth

Deposit and Refund Policy

All private care is paid in full at the time of booking. If your surgery date changes we can transfer your payment to your new date. If you do not complete your care or cancel last minute payment is non-refundable.

Call us at 754-224-9683 or E-Mail us at yourmiamiescape@gmail.com