contact — Salma Torres

Please fill out the following booking form to get in touch with me. However, before doing so, I ask that you please review my Q&A to make sure you are comfortable with my required screening process. Thank you!

Contact & Availability

Name

Nombre

Apellidos

Availability

I am flexible/local & am interested booking a date in the near future

I am in Philadelphia for a limited time & have a specific date/window of availability

Desired appointment date

If you have a specific date or window of time in which you would like to see me you may include it here, but please keep in mind that as a medical student my ability to make specific dates is sometimes limited. However, I love my dates and am always happy to try!

Desired appointment length

Anything else I should know?

I love what I do and genuinely want you to have the most joyful, pleasurable experience possible with me. Please tell me a little bit about yourself, where you're coming from, what you're looking for in our time together and/or anything else you think might be important for me to know about you. And remember: The more you tell me about your dreams... the more I can give you exactly what you desire...

Screening & Respect

I have thoroughly read & reviewed Salma's screening requirements and understand ALL potential clients of Ms. Torres must provide one (1) form of government-issued photo ID and two (2) previous provider references for screening purposes

Note: Ms Torres does not see clients without photo identification. Please do not contact Ms. Torres if you are unwilling to provide this information. See Salma's Q&A for complete screening details.

I understand & agree

I understand any attempt to negotiate Salma's screening requirements will be seen as a sign of extreme disrespect of her safety and autonomy

I understand and agree

I have sent Ms. Torres a copy of my photo ID via email

Yes

I have sent Ms. Torres the contact information of my two (2) provider references via email

Yes

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