Dear Prospective Surrogate:

Thank you for your interest in our program. As a surrogate, you will be providing a fulfilling service to a couple waiting to become parents. In turn, you will be given a complete medical evaluation, any uncovered medical expenses will be paid for, and your living expenses will be paid throughout your pregnancy and post-partum period.

Please print and complete the attached Surrogacy Application and Medical Records Release which, once received, will allow us to obtain medical records concerning your prior deliveries or surrogacy experiences. Additionally, please review your health insurance policy to make certain prenatal coverage for a surrogacy pregnancy is not excluded.

Once you have completed the application, please return it to my office with a photograph of yourself and your family. We will contact you upon receipt and review of your application to discuss your particular preferences and any questions you may have.

Thank you again for your interest. We look forward to meeting you.

Sincerely,



Anne Adelman
Surrogacy Coordinator