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