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*We aren't being intrusive here; fertility clinics specify an acceptable range for Body Mass Index (BMI) based on height and weight.
*We aren't being intrusive here; fertility clinics specify an acceptable range for Body Mass Index (BMI) based on height and weight.
*Please note that if you or your children are on Medicaid there are some circumstances where you may not be eligible at this time.
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Are you on any of the following birth control medications: Depo Shot, Implanon? *
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How many live births have you had? *
How many C-Sections have you had?
Have you experienced any complications during pregnancy? If so, please select from the following. *
Are you willing to carry a twin pregnancy? *
Have you experienced any of the following? *Please mark all that apply. *
Are you willing to administer self-injectable medications? *
Have you had the Covid-19 vaccination(s)? *

Donate or Surrogate

9350 Wilshire Blvd, Suite 203, Beverly hills CA 90212/ mbali@donateorsurrogate.com P: 424 447 3384/ F: 424 447 3385

Donate or Surrogate LCC @2022

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