Dear Gestational Carrier
Thank you for contacting the Family Fertility
Center. I am pleased you chose to be a part of our Gestational Surrogate
Mother Program. Your interest in helping an infertile couple achieve
their dream of having a child is extremely important and you are
to be congratulated.
It is important to evaluate the appropriateness of
your participation in the Surrogate Mother Program before you make
a commitment. Our web site contains many articles, and medical information
that will help answer many of the questions you may have regarding
becoming a gestational carrier. If you feel this is something for
you, please call us here at Family Fertility Center on our toll
free number at 800-939-6886 or locally at 925-977-4850.
After a short phone interview we will give you access
to the on line gestational surrogate application; this is an extensive
questionnaire for you to complete. The questionnaire, together with
head and shoulders color photos of you and your children, will form
your application. Please fill it out carefully and truthfully. Prospective
Parents will make their choices based on the information they see
in this application. The people looking at these applications will
receive no personal information about you other than your first
name. Please complete the enclosed authorization for release of
information and return it with your application.
There is also a form for input from your partner
(if appropriate), which should be returned with the application.
We also require that a copy of your driver's license and birth certificate
be submitted along with your application.
We recommend that you make a copy of your application
before mailing. Occasionally an application is not received or is
lost in error. I look forward to hearing from you.
Sincerely,
Marilyn G. Butterfield, R.N., M.S.
Director |