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The surrogate screening process: a guide for agencies

Screening protects everyone in the journey. Here is the usual order, and what an agency should track at each step.

Short answer: Agencies screen surrogates in stages: an application that checks the basic qualifications (age, BMI, at least one healthy pregnancy and delivery, non-smoking, stable home), then an intake call, prior pregnancy and medical records, a background check for her and her partner, a home visit or interview, a psychological evaluation, and finally medical screening at the IVF clinic.

1. The application

A good application asks the disqualifying questions early, so applicants who do not qualify find out quickly and kindly, and coordinators spend their time on those who do. Typical guidelines follow the American Society for Reproductive Medicine (ASRM) recommendations, plus each agency's own rules.

2. The intake call

A coordinator talks through the journey, answers questions and confirms the application. This is often where an applicant decides whether surrogacy is right for her family.

3. Records and background checks

Prior pregnancy and delivery records are requested, and background checks run for the surrogate and any adult in her household.

4. Psychological and medical screening

Usually once she is matched: a psychological evaluation, then medical screening by the intended parents' IVF clinic.

What to track

How SurroHub helps

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Surrogacy and egg donor agency software: one place for surrogates, intended parents, egg donors and matches, with branded portals and a built-in AI assistant.

Frequently asked questions

What are the basic requirements to be a surrogate?

Most agencies follow ASRM guidance: typically aged about 21 to 40, a healthy BMI, at least one healthy pregnancy and delivery, no smoking or drug use, and a stable, supportive home. Each agency sets its own exact rules.

How long does surrogate screening take?

Often several weeks to a few months, mostly waiting on records, background checks and clinic appointments.

Can software screen surrogate applications automatically?

It can sort them. In SurroHub, answers you mark as red flags show a not-qualified page at submit, and orange and yellow flags show on the profile for a coordinator to review.

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