Baseline fit
Age, BMI, prior birth, and state routing
The first screen checks age 21–38, BMI under 35, prior pregnancy history, and whether your state can be routed for surrogate recruitment right now.
Surrogate application
Start with fit before the full surrogate application
Use the application path as a fit sequence: confirm age, BMI, prior birth, state routing, and support readiness before deeper screening begins.
Age range
21–38
BMI screen
Under 35
First step
Fit + state review
Before you apply
Surrogate Pre-screening Application Form
This first screen helps you check baseline fit and prepare for coordinator follow-up. Medical clearance, legal coordination, records review, and final approval happen later with the appropriate professionals.
What we check first
One review path, three early questions
A clean application should help both sides decide whether it is worth moving into records and coordinator follow-up.
Records readiness
Pregnancy history and follow-up context
A coordinator may need pregnancy, insurance, support-system, and schedule context before records, background, medical, legal, or matching steps make sense.
Support plan
Practical next steps, not instant approval
The application helps the team decide the right follow-up path. It does not replace medical clearance, legal coordination, or final program approval.
Application questions
Quick answers before you submit
How do I become a surrogate?
Start by checking whether you meet the baseline criteria: age 21–38, at least one prior birth, BMI under 35, non-smoking status, U.S. citizenship or permanent residency, financial stability, and a currently routed surrogate-recruitment state. The fit check and application route the right coordinator follow-up after that first screen.
How do I apply to be a surrogate mother?
Use the pre-screening form on this page or the faster fit-check route first. If the baseline fit looks strong, the team can explain records, medical review, background check, legal, and matching steps before deeper screening.
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.
After submission
What happens after the first review
The application starts a prepared follow-up. It does not ask you to decide the whole journey in one sitting.
- 1 The team reviews the baseline fit details and state routing.
- 2 A coordinator follows up if the first screen suggests the application should continue.
- 3 Records, medical review, background authorization, legal coordination, and matching happen only after the right professional checks.