Apply to Become a Surrogate

Are you currently employed?

Have you been a surrogate mother before?

Are you currently enlisted in the Military?

Do you have your high school diploma or GED?

Have you given birth before?

Have you delivered a child vaginally?

Please specify if you have had any of the following complications throughout any of your past pregnancies

Have you had a cesarean (c-section)?

I represent that all written representations and information provided and/or to be provided to Simple Steps Fertility and any professional, psychologist, physician, physician's assistant, nurse, attorney, or designee of Simple Steps Fertility, are true, correct and complete.

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Simple Steps Fertility is one of the premier egg donor and surrogacy agencies in the United States, and strives to provide an exceptional and professional environment from beginning to end.

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