Surrogate Medical Authorization Form

Please click the link below and print this form to give to your IVF Physician when you conduct your medical screening. The SURROGATE ELITE “Your Choice” Surrogacy Care plan will not be enacted unless this form is filled out and signed by your IVF Physician before Embryo transfer.

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Sage Footer Buttons Egg Donation Agencies
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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.