Application Form

Form Please fill in the following fields
Family name Fill in your family name
Given name Fill in your given name
Email Fill in your email address
Phone Fill in your phone number
Message Fill in your message
Each person is different, therefore Harmonia pension offers accommodation and services to suit your needs. Please tick the option that is suitable to you.
Accomodation services	In a two-rooms apartment - maximum 4 people/apartment In a double room - 2 people /room In a single room - 1 person /room In a two-rooms apartment - one family
Personal assistance services	Healthy person Person who needs help for getting dressed, washing, taking medication, making the bed Immobilized person who needs permanent care

Note: For people with special needs (Alzheimer disease, neurological diseases, post-traumatic recovery, etc) we shall agree with their family upon the package of services that the person in question needs.

For further information, please contact us at the following phone number 0758 270501 or at the email address contact@casaharmonia.ro