We are excited that you are interested in becoming a Gestational Surrogate! Please take a few moments to fill out the intake form below and our staff will be in touch with you right away! If you have any questions in the meantime, please contact us at Info@FamilySourceSurrogacy.com.

Please see below the criteria to become a Surrogate

  • Be a resident of the United States
  • Be between the ages of 21-40
  • Be healthy overall
  • Be height-weight proportionate (BMI: 33 or lower)
  • Have at least one child and be raising (or have raised) that child
  • Have experienced a full-term pregnancy and delivery
  • Be in a stable living situation
  • Not be on public assistance
  • Have a minimum of a high school education
  • Be willing to take medications via injection (when instructed by RE)
  • Not smoke or take illegal drugs
  • Be willing to refrain from alcohol throughout the pregnancy
  • Be willing to keep caffeine intake to a minimum for the duration of the pregnancy
  • Not have any psychiatric illness
  • Have reliable transportation
  • Enjoy pregnancy and be motivated by the wish to help others create or add to their family

Serious inquiries only.

Fields marked with a * are required.

Personal Information

Thank you for your submission to Family Source Consultants, LLC.

Please keep in mind that this is only an informal application. If your preliminary qualifications are met, we will be in touch with you within 48 hours. We require all Surrogates to have a thorough and comprehensive application on file before we can begin our matching process.

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