Oneworld Ayurveda
(in Ubud Location)

Panchakarma Reservation Form

Two Locations, One Mission – Living in Balance

Your chosen destination is our
Ubud Panchakarma Center

50% deposit is payable via VISA, Mastercard, or bank transfer and must be made within 7 working days from booking confirmation.
Oneworld Ayurveda does not offer refunds on your deposit, however up to 100% of your deposit may be used for another Panchakarma within 12 months of the original date. Cancellation penalties may apply.
Oneworld Ayurveda does not offer credit for arriving late or leaving early and no partial refunds for any services not used during your Panchakarma.
Payment indicates agreement to:
Oneworld Ayurveda Program Participants Disclaimer
Oneworld Ayurveda Privacy Policy

We recommend you book your flights ONLY AFTER you have received a confirmation from us.

YOUR PANCHAKARMA AT ONEWORLD AYURVEDA UBUD

Room type *

I want to book a Panchakarma for (how many nights?) *

Panchakarma dates *

Please note—the first four days of the menstrual cycle can interfere with detox treatments, please consider this when selecting your dates.

YOUR PERSONAL INFORMATION

FIRST PARTICIPANT

Title *

First Name *

Last Name *

Country of residence

Email address *

Mobile phone number *

WhatsApp number

I use the same number for WhatsApp

Have you done a Panchakarma before *YesNo

If yes, where?

Do you have any serious health issues or recent surgeries? *YesNo

IMPORTANT: If you have any existing health issues or have had recent surgeries, please let us know as our Ayurvedic Physicians will need to assess whether you can safely do a Panchakarma (Ayurvedic detox) before your arrival.

Special request

How did you hear about us?

Friend's name or your other source of information

SECOND PARTICIPANT

Title *

First Name *

Last Name *

Country

Email address *

Mobile phone number *

WhatsApp number

I use the same number for WhatsApp

Have you done a Panchakarma before *YesNo

Select

Do you have any serious health issues or recent surgeries? *YesNo

Special request

ADDITIONAL INFORMATION

Voucher code (optional)

Oneworld Ayurveda
(in Ubud Location)

Panchakarma Reservation Form

Your chosen destination is our
Ubud Panchakarma Center

YOUR PANCHAKARMA AT ONEWORLD AYURVEDA UBUD

YOUR PERSONAL INFORMATION

FIRST PARTICIPANT

SECOND PARTICIPANT

ADDITIONAL INFORMATION

Oneworld Ayurveda Tegallalang

Oneworld Ayurveda Ubud

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Oneworld Ayurveda(in Ubud Location)

Panchakarma Reservation Form

Your chosen destination is ourUbud Panchakarma Center

YOUR PANCHAKARMA AT ONEWORLD AYURVEDA UBUD

YOUR PERSONAL INFORMATION

FIRST PARTICIPANT

SECOND PARTICIPANT

ADDITIONAL INFORMATION

Solverwp- WordPress Theme and Plugin

Oneworld Ayurveda
(in Ubud Location)

Your chosen destination is our
Ubud Panchakarma Center