Medical Release Authorization Form

Working with Patriot Conceptions has made this experience all the more wonderful. Along the entire journey I really felt like I was given an opportunity to meet my intended parents, get to know them and help them expand their family. Having Patriot and their team there to work out all of the details along the way made the bonding experience the focus. This adventure has changed my life for the better, and now my husband and I and our son will have life-long extended family living in California. The team at Patriot Conceptions is so wonderful and I am so thankful to all of you for your hard work and dedication to others. You all truly help to make a difference in so many lives. 

-Nancy G.

SURROGATE  Full Application

Background Check Authorization

Medical Record release authorization

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