Surrogate Application

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Become a Surrogate

Are you ready to embark on a life-changing journey? Patriot Conceptions is seeking compassionate women to become surrogates. Take the first step towards helping create families by completing our surrogate mother application below.

Compassionate surrogate holding hands with intended parents
Supportive group of surrogates smiling together

Surrogate Qualifications

Before you apply, please ensure you meet these basic surrogate requirements:

  • Age 21–38
  • Have given birth to and are raising at least one child
  • BMI under 35
  • Non-smoker and drug-free
  • U.S. citizen or permanent resident
  • Financially stable (not on government assistance)

Why Become a Surrogate with Patriot Conceptions?

  • Governed base-compensation guidance starting above $50,000 for qualifying first-time surrogates
  • Comprehensive medical and life insurance
  • Dedicated support throughout your journey
  • Opportunity to help create families

Fit, pay, state

Start with the 60-second fit check

If you came here ready to apply, use the faster fit check first so age, BMI, prior birth, and state fit route the right coordinator follow-up. The full application remains below.

First screen

Fit + BMI

Location

State review

Next step

Coordinator follow-up

Quick route

The quiz path keeps the same surrogate application record but starts with the questions that decide whether a call should happen.

Application Process

STEP 1: Submit the Surrogate Mother Pre-screening Form

The first step to get you started is submitting the Surrogate Mother Pre-screening Form. In this form, you will fill out some information about yourself. We will review the form you submitted and check if you meet the surrogacy requirements. After submitting, you can create an account through the Patriot Conceptions Surrogate Application Portal to continue your application.

Surrogate Pre-screening Application Form

Ready to take the next step? Submit your surrogate application today and join our community of amazing women making dreams come true!

FAQs about the surrogate application

Quick answers from our Resource Center. Open any question for details and next steps.

View all FAQs →

Quick application questions

Who should start the surrogate application?

Start here if you are 21–38, have given birth to and are raising at least one child, have a BMI under 35, and want a coordinator to review your baseline fit.

What happens after I submit the pre-screening form?

The care team reviews the first-screen fit information, routes qualified candidates to the right coordinator follow-up, and explains any next medical, background, and records steps before deeper screening.

Does this form replace medical screening?

No. The pre-screening form is an early routing step. Medical clearance, legal coordination, records review, and final approval happen later with the appropriate professionals.

Learn + Resources

Before you apply, confirm the decision pages

Final compensation depends on experience, insurance, contract structure, multiple-gestation risk, travel requirements, and the medical/legal details of the journey.