Medical Authorization Form Upload


Continue below to find where you can upload your completed Surrogate Medical Authorization form.

If you have not yet gotten the form completed by your IVF Physician. Click the link below to gain access to the Medical Authorization form.

Application Requirements
SURROGATELITE upload

Contact details

Upload:

Maximum file size: 33.55MB

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Legal Disclaimer: The participant understands that Association has no control or oversight over the services provided to the Participant by any vendors associated with the Association member benefits platform. Sage has secured these vendors as independent third parties, and Sage does not warrant or guarantee their services, nor does Association accept any liability for any damages possibly incurred by the Participant in working with any of the Association’s vendors.  

*SURROGATE ELITE Not available in all states at this time.  

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