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Your choice of surrogate is the cornerstone of a safe, positive surrogacy journey—for both your family and your future child. At Giving Tree, we accept only 1–2% of applicants, continually refreshing our pool of ready-to-match surrogates to ensure you have access to the very best candidates. Every step below confirms our surrogates are not just compassionate and committed—but also medically and emotionally equipped for the path ahead.
Our Comprehensive, Multi-Tiered Screening Process
1. Pre-Screening Application Review
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What: Detailed questionnaire on medical history, support network, and motivations.
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Why it matters: Filters for candidates with uncomplicated medical history, a clear understanding of surrogacy, and strong personal support.
2. Evaluation Consultation (via Zoom)
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What: A 1–2 hour video call led by our well-trained consultants—many of whom are experienced surrogates themselves—exploring personal background, pregnancy history, and motivations.
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Why it matters: First-hand insights help assess emotional readiness and alignment with the values of our intended parents.
3. Criminal Background Check
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What: National, county, and federal background checks are conducted for the surrogate and her cohabiting partner (if applicable).
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Why it matters: Confirms legal stability and ensures a secure environment for the surrogacy journey.
4. IVF Nurse Medical Records Review
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What: IVF nurses meticulously examine each candidate's pregnancy and delivery records before she is approved for match.
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Why it matters: This specialized review significantly increases the surrogate’s chances of passing medical clearance at your IVF clinic—reducing the risk of match breaks and delays.
5. External Health Insurance Review
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What: Independent review of her insurance policy to confirm coverage for prenatal care, delivery, and potential complications.
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Why it matters: Helps ensure coverage is in place, avoiding costly surprises for you or your surrogate.
6. OBGYN Clearance
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What: A formal letter of clearance from her personal OBGYN.
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Why it matters: Her own doctor knows her reproductive well-being best. This clearance offers an additional expert opinion on her fitness for a healthy pregnancy.
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7. Virtual Home Visits
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What: A virtual tour of the surrogate’s home environment.
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Why it matters: A home speaks the loudest about one’s stability and safety. We confirm that she will live in a safe and pleasant environment during her pregnancy.
8. Psychological Evaluation & Clearance
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What: A licensed mental health professional conducts a thorough clinical assessment.
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Why it matters: Ensures the surrogate is emotionally resilient, informed, and well-prepared for the mental and emotional journey ahead.
Final Onboarding & Match Readiness
Once a candidate successfully completes all of the above steps, she is welcomed into our Match Pool. You’ll receive a thoroughly vetted, ready-to-match profile—with verified qualifications, photos, and support documentation. From there, our team is with you every step of the way: from match meeting to contract to embryo transfer and beyond.
Additional Screening
​9. Drug Screening by Independent National Lab:
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What: A comprehensive drug panel performed off-site prior to the surrogate’s medical screening visits to the intended parents’ IVF clinic.
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Why it matters: Confirms a drug-free status before medications begin—ensuring your surrogate enters the medical phase in optimal health and readiness.
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