Call Today: 858-732-4277 | Email: Info@greatbeginningssurrogacy.com

Great Beginnings Surrogacy & Egg Donation Services

Surrogate Application

What is the Surrogacy Process?

APPLICATION & PRESCREENING 1-4 WEEKS

Complete online prescreener
Phone PreQualification interview with coordinator
Complete full surrogate application, sign release forms and Surrogate Benefit Package
Background check
Medical pre-screen
Medical records review and obtaining OB clearance letter

MATCHING 7-30 DAYS

Surrogate proﬁle release to Intended Parents
Video match call with IPs
Matched!

PSYCHOLOGICAL & MEDICAL SCREENING 1-2 MONTHS

Psychological Screening
Medical screening at Intended Parents’ fertility center

MONITORING APPOINTMENTS & EMBRYO TRANSFER 1-2 MONTHS

Intended Parent attorney contract drafting
Surrogate attorney contract review with you
Negotiation and finalization between all parties

PREGNANCY 9 MONTHS+

Beta blood tests at fertility center
Routine appointments with ultrasounds and bloodwork
Ultrasound heartbeat conﬁrmation of pregnancy
Graduation! From fertility specialist to OB care
Routine OB appointments
Share progress and updates with your Intended Parents
Delivery day!

Are you ready to become a surrogate? Apply below!

Call Today: 858-732-4277 | Email: Info@greatbeginningssurrogacy.com

Surrogate Online Prescreen App

The Gift of a Child is Truly a Wonderful Blessing and We Can’t Wait to Begin Your Journey Together.

First Name *

Last Name *

Phone *

Email *

Address *

Address

Address 1

Address 2

City

State/Province

Zip/Postal

Contact Preference(s): *

Text

Phone

Date of Birth *

What is Your Primary Race/Ethnic Origin? *

Height (Feet and Inches) *

Weight (Pounds) *

What is Your Relationship Status? *

Have You Been A Surrogate Before? *

If Yes, Please Give Details *

What Made You Decide to be a Surrogate? *

What is the Date of Your Most Recent Piercing? (Type "01/01/1930" if no piercings) *

What is the Date of Your Most Recent Tattoo? (Type "01/01/1930" if no tattoos) *

Are you a US citizen or permanent resident? *

Have You Given Birth to At Least One Child of Your Own? *

What is the Date of Your Most Recent Delivery? *

Have You Had More than 5 Deliveries? *

Please list each pregnancy, including date of delivery. *

Have You Had Any C-Sections? *

Please List Each C-Section, Including Date of Delivery and Reason for C-Section *

Do You Currently Receive Any Government Assistance? *

If Yes, Please Describe Which Government Assistance You Receive. *

How Did You Hear About Us? *

Please Give Us the Name of the Person Who Referred You to Us *

What is Your Current Occupation? *

What is Your Highest Level of Education? *

Have You Traveled Outside the US in the last 12 months? *

If yes, please indicate where, when and how long for each trip outside the US in the last 12 months: *

What Type of Birth Control Are You Currently Using? *

Are you open to working with International Intended Parents? *

If No, Please Explain *

Are you open to working with Non-English Speaking International Intended Parents? *