Surrogate Mother Application Form

Please take a moment to complete our brief surrogate mother application.

Surrogate Mother Qualifications

  • Have had past pregnancies with no complications

  • Have a healthy and responsible lifestyle

  • Be a non-smoker and non drug-user

  • Body Mass Index is under 30

  • Have good physical and mental health

  • Your age is between 20-38 year old

  • Have to be US citizen or legal resident

  • Have no more than two c-sections or 5 deliveries

  • Agree to psychological, drug and criminal screening

  • Be financially stable

  • Live in: California, Colorado, Illinois, Indiana, Nevada, Oregon, Texas, Utah