Surrogate Application

Apply to Become a BSM Surrogate

We partner with extraordinary women who are ready to give the gift of life. Please review the qualifications below and complete the form.

Qualification Criteria

Due to the nature of our clients and the types of clinics they are working with, you will find our requirements are stricter than typical agency requirements.

Age

21–36 years old

BMI

18–27.9

Prior Pregnancy

At least one prior healthy pregnancy

Prior Deliveries

Maximum 4 prior deliveries

C-Section History

Maximum 1 prior C-section

Miscarriage History

Maximum 1 prior miscarriage

Psychological Health

No significant psychological history (psych evaluation required)

Stability

Must be financially & socially stable

Background Check

Clean criminal background check

Absolute Disqualifications

Preeclampsia, diagnosed gestational hypertension, hyperemesis, gestational diabetes requiring medication, placental abruption, placenta accreta/increta, miscarriage later than 16 weeks' gestation, documentation of smoking or drug use during pregnancy, current nicotine, drug or marijuana use, use of psych medications in the past 3 years, chronic health conditions, uterine abnormalities or pathologies, untreatable communicable diseases in self or partner.

All candidates must be a US Citizen or Permanent Resident (Green Card holder) — No exceptions.

Personal Information

Pregnancy & Health History

YearOutcomeWeeksBirth WeightDelivery MethodType
No
Yes
No
Yes
No
Yes
No
Yes

Birth Control

About Me

Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No

Eligibility Confirmations

No
Yes

ID Verification

Accepted: Driver's license, passport, state ID (JPG, PNG, or PDF)

Family Photos

Profiles with better quality photos tend to get selected faster!

About You

Bespoke Surrogate Match

11400 West Olympic Blvd, Suite 200

Los Angeles, CA 90064

424-474-9270
© 2026 Bespoke Surrogate Match. All rights reserved. Confidential & Private.
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