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© 2019 heart to hands surrogacy, LLC

heart to hands surrogacy

Tel: 541.321.0730

PO Box 50387

Eugene, OR 97405

Intended Parent Checklist.

 

Please refer to the list below to help guide you through the intake process.

 

Please complete all the forms listed below and provide copies of the requested documentation.

 

If you have questions or need help with the forms, Adrienne would be glad to help.

 

Adrienne 541.321.0730 text friendly

 

adrienne@hearttohandssurrogacy.com

Intended Parent A & Intended Parent B

Please complete all the following forms by clicking on the name of the form.  You will be directed to the form.  Please complete the form and click on the submit button.

 

If you need to save the form and return to it, click "Save and resume later" at the bottom of the page. Make sure to enter your email address, click "Save and get link" and a link to return where you left off will be emailed to you.

 

Intended Parent Intake Form

 

Contract Agreement Form

Credit Card Form

(use the password “surrogacy”)​

Please email 10-20 photos of you, your partner, your family, your home, etc. (Please use photos that give us an idea of who you and your family are…candid is great, posed are ok.  A variety is best.) to adrienne@hearttohandssurrogacy.com

Intended Parent A

Please complete all the following forms by clicking on the name of the form.  You will be directed to the form.  Please complete the form and click on the submit button.

 

If you need to save the form and return to it, click "Save and resume later" at the bottom of the page. Make sure to enter your email address, click "Save and get link" and a link to return where you left off will be emailed to you.

 

Photo Release Form

Background Check Agreement Form 

(use the password “surrogacy”)

 

HIPAA Release

Please email an image/photo of each of the following documentation to: 

adrienne@hearttohandssurrogacy.com

  • Parent A Photo Identification

Intended Parent B

Please complete all the following forms by clicking on the name of the form.  You will be directed to the form.  Please complete the form and click on the submit button.

 

If you need to save the form and return to it, click "Save and resume later" at the bottom of the page. Make sure to enter your email address, click "Save and get link" and a link to return where you left off will be emailed to you.

 

Photo Release Form

Background Check Agreement Form 

(use the password “surrogacy”)​

HIPAA Release

Please email an image/photo of each of the following documentation to: 

adrienne@hearttohandssurrogacy.com

  • Parent B Photo Identification