Cruise Dialysis

Vasco Da Gama (Nicko Cruises) Booking Form

Please complete the form below. Once you have done so please click on the submit button at the end. We will then forward your booking information to you.

If you would like to book for more than 2 passengers or have any questions please contact us on 0844 995 1214.

Vasco Da Gama Booking Form
Ship *
Cruise *
Have all passengers been fully vaccinated for Covid19, including booster? *
Are any passengers taking a wheelchair or mobility scooter onboard? *
Will a dialysis patient be occupying this cabin? If yes, please put the dialysis patient's details in the boxes for PASSENGER 1 below *
Is Passenger 1 a dialysis patient? *
Is Passenger 2 a dialysis patient? *
Does the patient currently test negative for Hepatitis B, Hepatitis C, HIV and MRSA? *
Flights *
Would you like us to arrange your transfers from the airport to the port to the airport? Please note this will be at additional cost.
Do any of the guests have any of the following dietary requirements? *
Do any of the passengers have any sensory impairments? *
Do any of the passengers require supplementary oxygen? *
I have read the email sent to me and understand the cost of the dialysis during my cruise *
I have read the email sent to me and understand the cost of the service charge for my cruise *