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Company

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Do You Qualify?

You must meet all the qualifications below to be considered for our Gestational Surrogacy program.

Please read each item carefully!

What state do you live in?

Height*

Weight*

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BMI*

How many times have you been pregnant?*

How many c-sections have you had?*

Please provide the name of your insurance provider and type of plan (e.g., PPO, HMO, ACA, Medicaid).*

What type(s)?*

Please explain*

We are so sorry, but due to the laws in your state, we are unable to accept you into our surrogacy program. However, if you move to another state, we encourage to reapply. Or invite a friend who lives in another state to apply!

We are excited to accept preliminary applications from NY residents while our application for licensure is processed.

Please provide your contact information below to request more information about our program.

Once we have received your information, our intake team will be in touch to answer any questions you may have and to provide you with more information about becoming a TeamFSC Surrogate.

First Name*

Last Name*

We're sorry, we cannot accept your application as we do not accept employees as surrogates.

Address 1*

Address 2

City*

State*

Zip / Post Code*

Primary Phone*

Secondary Phone

Email*

How did you hear about us?*

Which one?*

Please specify*

Was there a name on the postcard or flyer? If so, please provide the name so we can thank them!*

Please let us know their name so we can thank them!*

Are there any specific questions we can answer for you?