The Surrogate Process

1. FILLING OUT AN APPLICATION 

Filling out an application is the first step to this big and important decision of wanting to be a Gestational Carrier. Click below to complete our application. [click here]

2. APPLICATION SCREENING PROCESS 

Once the application is received by Family Formers, we will review it. If the GC meets most to all the Gestational Carrier’s criteria, she will be contacted by one of our team members for additional information and a preliminary interview.

3. FOLLOW-UP PHONE CALLS & MEETINGS 

Once your application is approved by one of our Directors, they will contact you by a phone call and/or request for a meeting. The GC and the director will discuss any questions or concerns that both parties may have. Once you are cleared, you will complete the required paperwork.

4. PAPERWORK

The GC will be emailed documents for review and signature. The documents will include the:

HIPPA Forms (IVF Clinic and Family Formers)
Medical Records Release (IVF Clinic and Family Formers)
Criminal Background Check Authorization for you and your spouse (if applicable)
GC Estimated Compensation
Intended GC Agreement
GC Consent
GC Responsibilities
OB Clearance Form (You need to obtain medical clearance from your current Obstetrician).
GC Escrow Intake Form

5. BACKGROUND CHECKS 

With the GC’s consent, we will run a background check. In order to move forward to becoming a GC, Family Formers will need to run a full background check on you and your spouse (if applicable).

6. MEDICAL RECORDS (PRENATAL & DELIVERY RECORDS)

Finally, when the donor meets all the requirements and their AMH level is back with good standing (>3 ng/ml), the Donor will be entered into Family Formers’ Data Base and into their Donor List. This list provides a brief information about the Donor. No name, confidential and personal information is provided to any Intended Parent(s). The Donor is assigned an ID number and this Donor List profile will only include the Donor’s ID number, Age, Date of Birth, Hair Color, Eye Color, Education and the AMH level.

Submit all your medical/birth delivery records/ OB Clearance Form. As part of the screening process, it is very important that the GC be honest with the medical and delivery history. We do not want to put any risk to the health and wellbeing of the Gestational Carrier. Therefore, it is imperative that we receive all the medical records for the delivery of all your child(ren) from your physician, as well as the OB Clearance Form to be a GC.

Begin collecting and submitting copies of all the child(ren) delivery records from the hospital or birth center (Family Formers can fax and request these records on the GC’s behalf, if the GC filled out a Records Release for the hospital’s Records Department and returned back to Family Formers)

Begin collecting and submitting prenatal care from your OB (Family Formers can fax and request these records on the GC’s behalf, if the GC filled out a Records Release for the OB/Physician and returned back to Family Formers)

Family Formers will also need an OB Clearance Form filled out by the GC’s current Obstetrician.

7. PSYCHOLOGICAL EXAM 

The GC will be required to complete a psychological test (MMPI-II) and interview with a psychologist specialized in the fertility field. 

8. THE MATCH 

The GC will be introduced to potential IPs and will move on to the next process, if all parties agree with the match.

9. MEDICAL SCREENING 

You will have a medical screening at the IPs IVF clinic which includes: an Hysterosalpingogram (HSG), Saline Infusion Sonohysterography (SIS), FDA labs for STDs, and bloodwork, physical examination, and consult. The HSG is an X-ray procedure that the IVF specialist will perform to look at your fallopian tubes and uterus to rule out any blockages. According to the ASRM, “the SIS procedure imaging the uterus and uterine cavity using ultrasonography while sterile saline is instilled into the uterine cavity. The purpose of SIS is to detect abnormalities of the uterus and endometrial (uterine) cavity.”

10. LEGAL CONTRACT 

A legal contract called a Gestational Surrogacy Agreement (GSA) will be drafter by the IPs’ fertility attorney. You will review the GSA with your assigned fertility attorney. Once approved by all parties, the GSA must be signed and notarized.

11. FROZEN EMBRYO TRANSFER CYCLE:

You will be giving a Frozen Embryo Transfer (FET) calendar with important dates about appointments, medication start up, and estimated FET. The cycle will commence by starting birth control pills (helps with controlling your menstrual cycle). You will use several medications throughout the preparation cycle, which includes: Leuprolide (Lupron) injections (to calm down your own ovaries’ production), Estrogen patches (used to thicken your uterine lining), and Progesterone injections (helps maintain the pregnancy until the placenta produces its own progesterone). 

While you are adding the above-mentioned medications throughout the preparation cycle, you will be attending several monitoring appointments in which you will have ultrasounds and bloodwork. The actual FET will happen once your lining has thickened enough, and your estradiol levels are right. The IVF doctor and nurse will explain the FET process which is painless and a quick visit to the clinic. You will be recommended to rest that day and resume your normal activities with minor restrictions the next day. You will have your first pregnancy blood work test (HCG test/Beta Test) 10 days after FET. Once pregnancy is confirmed via bloodwork, you will be scheduled for an ultrasound around 6 weeks gestation and follow up at around 8 weeks. Then, you will graduate for prenatal care with your OBGYN.