Surrogates

Are you Covid-19 vaccinated?*

Will you consider getting vaccinated?*

Are you a U.S. Citizen?*

Do you have a Green Card or Visa?*

As a surrogate, you must agree to maintain a permanent residence in your current state until after the delivery. Do you acknowledge and accept this requirement?*

Have you ever given birth before ?*

Did you have "C-Section"?*

Have you previously been a surrogate?*

Have you ever been diagnosed with Diabetes or Gestational Diabetes?*

Do you have a history of Pregnancy-Induced Hypertension?*

Have you ever been diagnosed with Pre-Eclampsia?*

Have you ever been diagnosed with Toxemia?*

Do you receive any type of government assistance such as welfare, AFDC, Food Stamps, WIC, Medicaid or MediCal?*

Do you have a valid driver’s license, reliable care and car insurance?*

Are you and your spouse/partner willing to undergo a criminal background check ?*

Have you or your spouse/partner ever been convicted of a felony ?*

Are you willing to undergo a psychological screening and evaluation test ?*

Have you ever received treatment for depression?*

Have you or your spouse/partner ever been diagnosed with any type of mental illness?*

Do you currently smoke tobacco?*

Do you currently use recreational drugs such as marijuana or cocaine etc.?*

Have you ever received treatment for drug or alcohol abuse?*

Have you ever had an eating disorder?*

Are you comfortable giving yourself injections if trained by a healthcare professional?*

You will be required to take daily medications and/or injections for up to 4 months. Do you acknowledge and accept this requirement?*

You will be required to complete all required testing including psychological screening, sexually transmitted disease and drug testing. Do you acknowledge and accept this requirement?*

Have you or your spouse/partner ever had a sexually transmitted disease ?*

Do you have any food allergies ?*

Are you currently on any form of birth control ?*

Do you currently have an IUD?*

As a surrogate, you and your partner must abstain from sexual intercourse during the IVF process (approximately 2-6 weeks). Do you acknowledge and accept this requirement?*

Are you willing to travel outside of US ( All expenses paid )?*