Home » Intended Parent Profile

Getting Started

Start your journey to parenthood!

Complete Your Profile

Intended Parent Profile

Your profile will be shared with a surrogate that you have requested interest in. Please complete the entire profile. Your personal contact information will not be provided to the surrogate at this time.

IP1 - Name(Required)

Intended Parent 1

First Middle Last

IP1 - Preferred Name(Required)

Intended Parent 1

IP1 - Gender(Required)

Intended Parent 1

Male

Female

IP1 - Age(Required)

Intended Parent 1

IP1 - Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

IP1 - Email(Required)

Intended Parent 1

IP1 - Phone(Required)

Intended Parent 1

IP1 - What's your relationship status?(Required)

Intended Parent 1

Married

Single

Partners

Registered Partners

IP2 - Name(Required)

Intended Parent 2

First Middle Last

IP2 - Preferred Name(Required)

Intended Parent 2

IP2 - Gender(Required)

Intended Parent 2

Male

Female

IP2 - Age(Required)

Intended Parent 2

IP2 - Email(Required)

Intended Parent 2

IP2 - Phone(Required)

Intended Parent 2

Are you working with a fertility clinic?(Required)

Yes

Please list the clinic’s name, doctor’s name and location.

Do you have any children?(Required)

Yes

What are their ages?(Required)

Have you spoken to your children about having a baby through surrogacy?(Required)

Yes

How do your children feel about you having a baby through surrogacy?(Required)

How do the people in your life feel about you having a surrogate carry your baby?(Required)

Eg. your parents/friends.

Have you worked with a surrogate in the past?(Required)

Yes

Are you willing to work with a non-covid vaccinated surrogate?(Required)

Yes

Are you willing to work with a covid vaccinated surrogate?(Required)

Yes

Who will be providing the eggs for IVF?(Required)

Mother

Egg donor

Both

Who will be providing the sperm for IVF?(Required)

Father

Sperm donor

Do you have frozen embryos?(Required)

Yes

How many?(Required)

Will you be speaking with your fertility doctor about PGD? (Preimplantation Genetic Diagnosis)(Required)

(Gender selection, genetic abnormalities)

Yes

Do you have a preference for a boy or a girl?(Required)

Boy

Girl

Either

How many children would you like your surrogate to carry?(Required)

Singleton (1 baby)

Twins (2 babies)

Triplets (3 babies)

If your surrogate is pregnant with twins or triplets do you want selective reduction performed?(Required)

By reducing a fetus you may give the others a better chance of survival.

Yes

Reduce from Triplets to Twins?(Required)

Yes

Reduce from Triplets to a Singleton?(Required)

Yes

Reduce from Twins to a Singleton?(Required)

Yes

If the fetus has abnormalities, do you want to abort the pregnancy?(Required)

(Down’s syndrome, spina bifida, cerebral palsy, missing limbs.)

Yes

Please specify(Required)

IP1 - To the best of your knowledge do you have any health conditions?(Required)

Intended Parent 1 (Eg: Diabetes, high blood pressure, Cancer, STDs, HIV, Hepatitis A, B or C)

Yes

IP1 - Please explain(Required)

IP1 - Are you receiving treatment for any medical conditions?(Required)

Intended Parent 1

Yes

IP1 - Please explain(Required)

IP1 - Are you taking any prescription medication?(Required)

Intended Parent 1

Yes

IP1 - Please explain(Required)

IP1 - What is your occupation?(Required)

Intended Parent 1

IP1 - Describe your personality(Required)

Intended Parent 1

IP1 - What do you like to do in your leisure time?(Required)

Intended Parent 1

IP1 - What is your favorite..(Required)

Intended Parent 1

food?

movie?

vacation?

car?

music?

IP2 - To the best of your knowledge do you have any health conditions?(Required)

Intended Parent 2 (Eg: Diabetes, high blood pressure, Cancer, STDs, HIV, Hepatitis A, B or C)

Yes

IP2 - Please explain(Required)

IP2 - Are you receiving treatment for any medical conditions?(Required)

Intended Parent 2

Yes

IP2 - Please explain(Required)

IP2 - Are you taking any prescription medication?(Required)

Intended Parent 2

Yes

IP2 - Please explain(Required)

IP2 - What is your occupation?(Required)

Intended Parent 2

IP2 - Describe your personality(Required)

Intended Parent 2

IP2 - What do you like to do in your leisure time?(Required)

Intended Parent 2

IP2 - What is your favorite..(Required)

Intended Parent 2

food?

movie?

vacation?

car?

music?

What languages do you speak?(Required)

Do you speak English?(Required)

Yes

Some

Can you communicate by email in English?(Required)

Yes

Do you need a translator when communicating with the psychologist or attorney?(Required)

Yes

How do you prefer communication with the agency and your surrogate?(Required)

Phone

Zoom

WeChat

Why did you choose to have a child through surrogacy?(Required)

Contact with your surrogate is encouraged during the process. What type of relationship would you like to have with your surrogate?(Required)

It is important to the surrogate to get to know you. Please describe your relationship, how you met, your childhood, family, travels, etc.(Required)

Do you plan to attend the OB/GYN doctor appointments with your surrogate?(Required)

Yes

Would you like to be in the delivery room during the birth of your baby?(Required)

Yes

If you cannot make the birth of your baby, would you like photos taken?(Required)

Yes

Please provide photos of you and your family(Required)

Drop files here or

Max. file size: 30 MB.

Office Use Only - Personal Information

This page is for Family Tree Surrogacy Center information only and will NOT be provided to your surrogate.

IP1 - Full Legal Name(Required)

Intended Parent 1

IP2 - Full Legal Name(Required)

Intended Parent 2

IP1 - Date of Birth(Required)

Intended Parent 1

IP2 - Date of Birth(Required)

Intended Parent 2

IP1 - Birthplace(Required)

Intended Parent 1

IP2 - Birthplace(Required)

Intended Parent 2

IP1 - U.S Citizen(Required)

Intended Parent 1

Yes

IP2 - U.S Citizen(Required)

Intended Parent 2

Yes

IP1 - Social Security Number (if applicable)

Intended Parent 1

IP2 - Social Security Number (if applicable)

Intended Parent 2

IP1 - Driver’s License Number (if applicable)

Intended Parent 1

IP2 - Driver’s License Number (if applicable)

Intended Parent 2

Please provide your combined annual income:(Required)

$0 - $75,000

$75,000 - $125,000

$125,000 - $200,000+

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Family Tree Surrogacy Center, LLC
2305 Historic Decatur Road, Suite 100
San Diego, CA 92106 USA

Phone: +1 (619) 271-4093
Email us

Getting Started

Start your journey to parenthood!

Complete Your Profile

Intended Parent Profile

Office Use Only - Personal Information

Intended Parents

Egg Donors

Surrogates

Locations