Preliminary Surrogate Application

Thank you for your interest in becoming a surrogate with Fertility Resources of Houston. To help us determine your eligibility for the program, please complete the Preliminary Surrogate Application below.

Please note that all information you provide is strictly confidential.

  • Background Questions

  • Please enter a number from 15 to 100.
  • Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY

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Why Choose Us?

  • Each Participant Is Thoroughly Screened
  • No Consultation Fees
  • ASRM Recommended
  • Discreet & Highly Professional
  • Ensures Satisfaction