Discover (Booking) - LUMINA JAPAN

Personal Information

First Name

Last Name

Nationality

Gender

Country of Residence

Email

Travel & Visit Details

Preferred Travel Dates

Estimated Length of Stay

Number of Travelers

Estimated Budget per Week (USD)

Purpose of Visit

Medical Treatment (Health Check-Up, Cancer Care, Regenerative Medicine, Aesthetic Medicine)

Wellness Retreat (Hot Springs, Zen, Mindfulness, Nature Healing)

Beauty & Salon Experiences (Head Spa, Facial, Hair, Lash, Nail)

Culture & Tradition (Tea Ceremony, Temples, Crafts)

Culinary Experiences (Fine Dining, Local Cuisine)

Others (Please Specify)

Medical, Wellness & Beauty Preferences

Aesthetic Medicine is performed at partner clinics. For salon treatments such as head spa or lash lift, please select Beauty & Salon Program.

Health Background

Please share any conditions, medications, allergies or skin sensitivities we should be aware of, including those relevant to beauty and spa treatments.

Interpreter or Accompaniment Required?

Yes - Full-time support

Yes - Occasional support

No

Not sure yet

Beauty Interests

Communication & Additional Details

Preferred Method of Contact

Email

Online Meeting (Zoom / Teams etc.)

Other

How Did You Hear About LUMINA JAPAN?

Referral from a friend or family member

Referred by a healthcare professional

Introduced by a concierge or private assistant

Social media (Instagram, Facebook, etc.)

Online search (Google/Bing)

Press articles or media coverage

Luxury travel or wellness community

Events or conferences

Other

Additional Comments or Requests

Consent

I agree to the Privacy Policy and the use of my personal data for travel and medical coordination purposes.

Inquiry Form

Personal Information

Travel & Visit Details

Medical, Wellness & Beauty Preferences

Beauty Interests

Communication & Additional Details

Ready to rejuvenate in Japan?