Establishing secure connection…Loading editor…Preparing document…

Surrogate Agreement

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

SURROGATE AGREEMENT

This Surrogate Agreement (the "Agreement") is entered into on this by and between Intended Parent(s): and Surrogate: .

RECITALS (WHEREAS)

WHEREAS, Intended Parent(s) desire to engage Surrogate to become pregnant and to carry the child or children to term by means of assisted reproduction as set forth in this Agreement; and

WHEREAS, Surrogate represents that she is physically and emotionally able to carry a pregnancy and agrees to undergo medical procedures, tests and treatments reasonably required by the treating physician and to comply with treatment plans and facility rules; and

WHEREAS, the parties intend by this Agreement to set forth their respective rights, responsibilities, compensation and the parties' understanding regarding parental rights, medical decision-making and reimbursement of expenses.

SCOPE OF WORK

Surrogate shall undergo necessary medical evaluations and treatments, comply with medical instructions, attend prenatal visits, and carry the pregnancy to viability and delivery, subject to obstetrical guidance and the terms below. Surrogate will notify Intended Parent(s) promptly of material changes in health or circumstances that may affect the pregnancy.

PAYMENT TERMS

Intended Parent(s) shall pay Surrogate the compensation and reimbursements described below in consideration for services and expenses incurred in connection with the pregnancy and delivery.

All monetary amounts due to Surrogate are payable in United States currency and are intended as full compensation and reimbursement under applicable law. Parties acknowledge whether compensation is subject to tax reporting and withholding will be determined in accordance with law; the party responsible for any tax reporting or withholding shall be:

TERM AND TERMINATION

This Agreement commences on the date first written above and shall continue until completion of duties described herein and finalization of parental rights, unless earlier terminated pursuant to this section.

CONFIDENTIALITY

Each party shall keep confidential all medical, financial and personal information disclosed in connection with this Agreement and shall not disclose such information without the prior written consent of the other party, except as required by law or to health care providers, legal counsel, insurers or courts with jurisdiction over matters arising under this Agreement. This obligation survives termination of the Agreement for a period of five (5) years.

MEDICAL DECISIONS AND CARE

Surrogate retains the right to make final decisions regarding her medical care during the pregnancy, including decisions reasonably necessary to protect her health. The parties agree to mutually consult and to consider the recommendations of the treating physician. In emergencies, the medical team may act without prior consultation when necessary to address an immediate risk to Surrogate.

PARENTAL RIGHTS AND ASSIGNMENT

Intended Parent(s) and Surrogate acknowledge that the parties intend that Intended Parent(s) shall be the legal parent(s) of any child(ren) born as a result of this Agreement and that Surrogate shall have no parental rights following legally effective transfer of parentage in accordance with applicable law. The parties agree to cooperate to effectuate any pre- and post-birth legal proceedings necessary to establish parental rights.

INSURANCE AND INDEMNIFICATION

Intended Parent(s) shall procure and maintain health insurance to the extent available and shall be responsible for uncovered medical expenses and other agreed reimbursements. Intended Parent(s) agree to indemnify and hold harmless Surrogate from liabilities and claims related to pregnancy, delivery and postnatal care arising from actions or omissions of Intended Parent(s) or their agents, except to the extent caused by the willful misconduct or gross negligence of Surrogate.

REPRESENTATIONS AND WARRANTIES

Each party represents and warrants that: (i) they are of legal age and capacity to enter into this Agreement; (ii) the person signing on its behalf is authorized to do so; (iii) no party is subject to any court order or legal restriction preventing performance of this Agreement; and (iv) all information provided to the other party in connection with this Agreement is true and complete to the best of their knowledge.

GOVERNING LAW

This Agreement shall be governed by and construed in accordance with the laws of the State of , without regard to conflict of law rules.

ENTIRE AGREEMENT

This Agreement contains the entire understanding of the parties with respect to its subject matter and supersedes all prior and contemporaneous agreements, representations and understandings, whether written or oral. This Agreement may be amended only by a written instrument executed by all parties.

MISCELLANEOUS

If any provision of this Agreement is held invalid or unenforceable, the remaining provisions shall remain in full force and effect. The parties agree to execute such further documents and take such further action as may be reasonably necessary to effectuate the purposes of this Agreement.

Intended Parent(s) Printed Name:

By:

Date:

Surrogate Printed Name:

By:

Date:

Enter text✕

What a Surrogate Agreement Is and when it applies

A Surrogate Agreement is a legal contract between intended parent(s) and a surrogate that sets out medical, financial, parental, and procedural arrangements for a gestational or traditional surrogacy. The agreement typically addresses medical decision-making, compensation, insurance, confidentiality, dispute resolution, and parental rights after birth. Because state law varies on enforceability and parentage procedures, parties usually sign a detailed written contract and consult counsel to confirm the document meets statutory and court requirements in the relevant jurisdiction.

Why a clear Surrogate Agreement matters

A well-drafted Surrogate Agreement reduces legal uncertainty, clarifies financial and medical obligations, and documents consent from all parties. It helps courts and agencies resolve parentage and enforce payment, insurance, and custody terms where permitted by law.

Why a clear Surrogate Agreement matters

Who typically signs a Surrogate Agreement

Typical signers include the intended parent(s), the surrogate, and their attorneys; medical providers and agencies may be named as contacts.

  • Intended parents: biological or commissioning adults entering parental arrangement and financial obligations.
  • Surrogate: gestational or traditional carrier agreeing to medical plan and parental relinquishment terms.
  • Legal counsel/agency: attorneys or agencies facilitating parentage, contract negotiation, and court filings.

The agreement may also require signatures from an insurer, a fertility clinic representative, and a notary, depending on local rules and the parties’ preferences.

Core provisions to include in a professional Surrogate Agreement

A comprehensive agreement balances medical direction, compensation, parental rights, insurance, privacy, and dispute resolution provisions so each party’s obligations and expectations are explicit.

Parties

Full legal names and contact details for intended parent(s), surrogate, and any agency or clinic involved; identify legal representatives if used.

Medical Plan

Detailed IVF and prenatal plan, consent to treatments, named primary medical provider, and procedures for unforeseen medical decisions during pregnancy.

Compensation

Schedule of payments, expense reimbursements, escrow arrangements, and who covers travel, maternity care, and incidental costs.

Parentage

Steps for pre-birth or post-birth parentage orders, adoption or second-parent petitions, and any required court filings under state law.

Insurance

Clarify which insurer covers maternity and newborn care, responsibility for gaps, and actions if surrogacy is excluded by policy.

Dispute Resolution

Governing law, choice of jurisdiction, mediation/arbitration clauses, and allocation of attorney fees in enforcement scenarios.

Step-by-step: completing a Surrogate Agreement

Follow these steps in order to reduce errors and ensure the agreement addresses medical, legal, and financial issues.

  • 01
    Assemble parties: Confirm identities and legal representatives before drafting.
  • 02
    Draft provisions: Document medical plan, compensation, insurance, and parentage steps.
  • 03
    Review with counsel: Each party should have separate legal advice to confirm enforceability.
  • 04
    Sign and notarize: Execute signatures, obtain notarization if required, and store original copies securely.

How to set up an online execution workflow

Configure the document so each signer receives required fields, notifications, and optional authentication steps.

Field Configuration
Signature fields Assign one signature field per signer with date stamps.
Initials and consent Place initials on critical clauses and a separate consent checkbox for medical decisions.
Authentication Enable email + SMS code or additional ID verification for higher assurance.
Audit Trail Capture timestamps, IP addresses, and download copies after completion.

Where to send and file the completed agreement

Decide routing for signed originals, counsel copies, clinic records, and court filings before execution to avoid delays.

  • Intended parents: Keep a fully signed, dated copy for parental records and tax reporting.
  • Surrogate: Provide the surrogate with an executed copy and contact info for medical provider.
  • Clinic / Hospital: Send executed agreement to the treating fertility clinic and delivery hospital as required.
  • Court or counsel: File pre-birth orders or post-birth parentage actions per local practice.

Digital signing and technical requirements

Choose a signing platform that provides audit trails, secure storage, and optional advanced authentication.

  • Document formats: PDF, DOCX supported
  • Integrations: Clinic EHR and cloud storage
  • Authentication: Email, SMS, or KBA

Typical timing and deadlines to track

Surrogacy matters move across medical, legal, and court timelines; plan for healthcare timelines and any required court filings tied to expected delivery.

Medical cycle start:

Begin contract and clearance before embryo transfer.

Insurance verification:

Confirm coverage prior to implantation to avoid denials.

Pre-birth orders:

File pre-birth parentage or gestational orders where available.

Delivery documentation:

Ensure hospital has copy of agreement before admission.

Post-birth steps:

Complete birth certificate or adoption filings promptly after delivery.

Key processing milestones from contract to parentage

Track these sequential milestones so parties, clinics, and counsel act promptly as the pregnancy progresses.

01

Contract Execution

Agreement signed, initial payments and escrow funded.

02

Medical Clearance

Surrogate completes screenings and receives medical approval.

03

Embryo Transfer

IVF or transfer performed per medical plan.

04

Parentage Order

Pre-birth or post-birth order filed to establish legal parentage.

Common preparation pitfalls to avoid

  • Unclear compensation terms that omit escrow schedules and tax treatment create later disputes and potential enforcement issues.
  • Failing to confirm insurance exclusions before transfer can result in unexpected hospital bills for surrogate or newborn.
  • Using a one‑size‑fits‑all template without state-specific language may make parentage provisions unenforceable in some jurisdictions.
  • Skipping independent legal counsel for each party increases the risk of later challenges to consent or contract validity.

Legal risks and consequences of an incomplete or invalid agreement

Contract unenforceability: May render terms void
Parental disputes: Risk of litigation
Insurance denial: Potential large medical bills
Tax exposure: Reporting or withholding issues
Criminal sanctions: Rare where prohibited by state law
Delayed parentage: Extra court procedures required

Data elements that require protection

Health data: Medical records and treatment plans
Identifying data: Full names, DOBs, SSNs
Payment data: Bank or escrow details
Insurance info: Policy numbers and coverage
Counsel communications: Privileged legal advice
Audit trail: Timestamps and IP logs

Real-world examples of document use

These examples show how clinics and healthcare organizations use e-signature workflows and agreements in reproductive settings.

Fertility Centers of Illinois

Their reproductive clinic standardized execution with digital workflows

  • Clinic required signed consent prior to treatment
  • The team reported faster completion and reliable audit trails for patient files and legal records.

Optica Ventures LLC

A multi-stakeholder agreement required clear authorization and identity checks

  • They used structured signatures and secure storage
  • The company noted easier coordination across counsel, clinics, and intended parents.

Frequently asked questions about Surrogate Agreements and e-signing

Answers to common legal, technical, and process questions about drafting, signing, and preserving Surrogate Agreements.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users