women touching a surrogate mom's belly

Surrogate Application


Application Process

Becoming a surrogate mother and helping families have their own children is one of the best feelings in the world

Step 1: Submit the Surrogate Mother Intake Form

The first step to get you started is submitting the Surrogate Mother Intake Form. In this form, you will fill out some information about yourself. We will review the form you submitted and check if the basic requirements for becoming a surrogate are met.

Step 2: Submit the Surrogate Full Application Form

You will provide all the information that is relevant to becoming a surrogate, including your birth records, medical information, your preference about your surrogacy journey, and other information that helps us, and more importantly, the intended parents, know you better.

Step 3: Submit the Background Check Authorization

We run a background check on all the surrogate mothers to make sure that our surrogate mothers maintain a healthy lifestyle. The background check result will remain confidential and will be used for surrogacy purposes only.

Step 4: Submit the Medical Record Authorization

HIPAA Compliant Patient Information Authorization, aka Medical Record Authorization, is required by surrogacy regulations to proceed with surrogacy. This form authorizes Patriot Conceptions to check if the surrogate mother is ready for surrogacy from a medical perspective.