Dolphin Assisted Therapy-DAT
  - Dolphin Therapy & History
  - Meet our dolphins
  - How does DAT work & effects
  - DAT Clients / Indications
  - Dolphin Therapy Programs
  - Pony & Horseback Riding
  - Therapist Profiles
  - Therapy Packages & Rates
  - Therapy Results & Comments
  - Frequently asked questions
  - Therapy Internship Info
   
  About Melka & Lovina/Bali
  - About Bali & Lovina
  - Our Dolphin Resort
  - Melka Facilities
  - Melka Accommodations
  - Photo Galleries
  - Further Activities
  Downloads-short movie clips
& Melka digital e-brochures

 

 

CONTACT US
MELKA EXCELSIOR HOTEL

Jl. Raya Kalibukbuk
Lovina - Bali - Indonesia
Ph: +62.362.41552
Fax: +62.362.41543
email: for reservations

for further informations please email us!

www.melkagroups.com

www.dolphintherapybali.com

www.dolphin-healing-program.com

www.baliganeshamonument.com

www.melkahotelbali.com

dolphin_therapy_bali_melka_contactus

Therapy Inquiry & Booking Form
Please put all details into the form, that we gain special insight
in the conditions of therapy.

Name of Person in Charge:
Date of birth:
Gender:
Street/Housenumber:
Postcode/City:
Phone/Fax:
Email-Address:
   
Name of Patient:
Date of birth:
Gender:
Street/Housenumber:
Postcode/City:
Phone/Fax:
Email-Address:
   
Important Informations :  
Diagnosis/Special Conditions:
What is your experience with dolphin therapy (any)?:
Results?:
Does the patient need medical observation?:
Is the patient on medication?:
Does the patient need a special equipped accommodation?:
Behaviour patterns we should know about?:
Special diet necessary- which one ? (Vegetarian, Allergies)?:
How many therapy sessions are on request?:
Number
   
General Inquiries:  
How many rooms are needed?:
Rooms (Accommodations)
Extra carer/babysitter will be needed?:
How long will you stay in Melka Resort?:
days
Date Chek in:
Date check out:
How many people come?:
adults/kids
From which country?:
I found Dolphin Therapy Bali?:
Here is my:
Message-Box:

 

 

 

 

Enter Verification Code :
 

 

 
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