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This is a patient registration form which is to be filled and submitted after you have made your advance payment and your reservation at vaidyagrama has been confirmed. 

This form may be submitted before you arrive in vaidyagrama. 

Along with this form, you may also please email to us the following -

1) your photo

2) photo of your passport page containing your details

3) photo of the India visa page on your passport


The above is required for online submission to the local authorities in India as per the prevailing laws in India.

vaidyagrama - ayurveda healing village - patient registration form

Thank you...