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Lidiya
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Our Partners
Oxford Medical
Dogus IVF
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Our Events
Webinars
Previous events presentation
Become a Parent
Surrogacy
Surrogacy Guide
Surrogacy Requirements
Surrogacy Glossary
Ukrainian Surrogates
Surrogates qualification
Matching process
Surrogate compensation
Surrogacy Destinations
Ave Fertility in Ukraine
Ave Fertility in USA
Ave Fertility in Latin America
Surrogacy Process
LGBTQIA+ Surrogacy Options
Surrogacy for Single Parents
Our Surrogacy Programs
Standard Surrogacy Program
American-style Surrogacy Program
Optimal Surrogacy Program
European-style Surrogacy Program
Surrogacy Concierge Program
Surrogacy Costs
Parent Application Form
Egg Donation
Egg Donation Guide
Egg Donation Process Step by Step
Our Egg Donation Programs
IVF with Frozen Donor Eggs
IVF with Fresh Donor Eggs
Egg Donation Costs
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Anastasia
Lia
Lidiya
Olha
Our Partners
Oxford Medical
Dogus IVF
Eternal Spring
Smart Surrogacy
Aura Egg Donation Agency
Our Events
Webinars
Previous events presentation
Become a Parent
Surrogacy
Surrogacy Guide
Surrogacy Glossary
Surrogacy Requirements
Ukrainian Surrogates
Surrogates qualification
Matching process
Surrogate compensation
Surrogacy Destinations
Ave Fertility in Ukraine
Ave Fertility in USA
Ave Fertility in Latin America
Surrogacy Process
LGBTQIA+ Surrogacy Options
Surrogacy for Single Parents
Our Surrogacy Programs
Standard Surrogacy Program
American-style Surrogacy Program
Optimal Surrogacy Program
European-style Surrogacy Program
Surrogacy Concierge Program
Surrogacy Costs
Parent Application Form
Egg Donation
Egg Donation Guide
Egg Donation Process Step by Step
Our Egg Donation Programs
IVF with Frozen Donor Eggs
IVF with Fresh Donor Eggs
Egg Donation Costs
Legislation
Surrogacy in Ukraine
Surrogacy in USA
Surrogacy in Arizona
Surrogacy in Arkansas
Surrogacy in California, CA
Surrogacy in Colorado
Surrogacy in Connecticut
Surrogacy in DC
Surrogacy in Delaware
Surrogacy in Florida
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Surrogacy in New Jersey
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Home /
Surrogacy /
Parent Application Form
Parent Application Form
This form is intended to gather the initial information about you and your case.
The information provided will help us to assess our possibility to offer you one of our programs and make it easier for us to assist you.
All submitted information is covered by confidentiality and will be seen by the authorized staff memeber only.
The form will take you not more than 10 minutes to fill in
Contact information
Please indicate the best phone number to be contacted *
Please indicate the best email address to be contacted *
Please indicate any restrictions in contacting you (if any)
How did you hear about Ave!Fertility?*
Google
YouTube
Facebook
Instagram
TikTok
Pinterest
Friend's referral
IP support group
Conference/Expo
Ave!Fertility Open Day
Webinar
Through a Guest Post on Another Website
Other
Basic information:
INTENDED PARENT (1)*
Intended Parent's First Name*
Intended Parent's Last Name*
Intended Parent's Citizenship*
Albania
Argentina
Australia
Austria
Belgium
Bosnia and Herzegovina
Brazil
Bulgaria
Canada
Central African Republic
China
Colombia
Croatia
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Egypt
Estonia
Finland
France
Georgia
Germany
Greece
Guatemala
Hong Kong (China)
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Jordan
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Malaysia
Mexico
Moldova
Monaco
Montenegro
Netherlands
New Zealand
Nigeria
North Macedonia
Northern Cyprus
Norway
Philippines
Poland
Portugal
Romania
San Marino
Saudi Arabia
Serbia
Singapore
Slovakia
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Venezuela
Vietnam
Other
Intended Parent's Date of Birth*
Gender Indentity*
Female
Transgender woman
Male
Transgender man
Non-binary
Genderqueer/Genderfluid
Prefer to self-describe
Prefer not to say
Sexual orientation:*
Heterosexual
Homosexual
Prefer to self-describe
Prefer not to say
INTENDED PARENT (2)
Intended Parent's First Name
Intended Parent's Last Name
Intended Parent's Citizenship
Albania
Argentina
Australia
Austria
Belgium
Bosnia and Herzegovina
Brazil
Bulgaria
Canada
Central African Republic
China
Colombia
Croatia
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Egypt
Estonia
Finland
France
Georgia
Germany
Greece
Guatemala
Hong Kong (China)
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Jordan
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Malaysia
Mexico
Moldova
Monaco
Montenegro
Netherlands
New Zealand
Nigeria
North Macedonia
Northern Cyprus
Norway
Philippines
Poland
Portugal
Romania
San Marino
Saudi Arabia
Serbia
Singapore
Slovakia
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Venezuela
Vietnam
Other
Intended Parent's Date of Birth
Gender Indentity
Female
Transgender woman
Male
Transgender man
Non-binary
Genderqueer/Genderfluid
Prefer to self-describe
Prefer not to say
Sexual orientation:
Heterosexual
Homosexual
Prefer to self-describe
Prefer not to say
Marital status:
What is your marital status?*
Officially married
Civil partnership
Single
Not registered officially
Other
What is the country of your current residence?*
Albania
Argentina
Australia
Austria
Belgium
Bosnia and Herzegovina
Brazil
Bulgaria
Canada
Central African Republic
China
Colombia
Croatia
Cyprus
Czech Republic
Denmark
Dominica
Dominican Republic
Egypt
Estonia
Finland
France
Georgia
Germany
Greece
Guatemala
Hong Kong (China)
Hungary
Iceland
India
Indonesia
Ireland
Israel
Italy
Japan
Jordan
Kosovo
Latvia
Liechtenstein
Lithuania
Luxembourg
Malaysia
Mexico
Moldova
Monaco
Montenegro
Netherlands
New Zealand
Nigeria
North Macedonia
Northern Cyprus
Norway
Philippines
Poland
Portugal
Romania
San Marino
Saudi Arabia
Serbia
Singapore
Slovakia
Slovenia
South Africa
South Korea
Spain
Sweden
Switzerland
Turkey
Ukraine
United Arab Emirates
United Kingdom
United States
Venezuela
Vietnam
Other
Brief anamnesis:
What is your medical reason to apply for surrogacy?*
Did you have any previous IVF attempts?
Yes
No
Did you have any previous IVF + donor eggs attempts?
Yes
No
Did you have any previous surrogacy attempts?
Yes
No
Do you have relevant medical records available?*
Yes
No
Program preferences
What treatment are you interested in?*
IVF
IVF using fresh donor eggs
IVF using frozen donor eggs
IVF using donor sperm
IVF using donor egg and donor sperm
Frozen Embryo Transfer to Intended Mother (we have embryos already)
Surrogacy only (we have embryos already)
Surrogacy using own eggs
Surrogacy using donor eggs
Surrogacy using donor sperm
Not sure, need additional advice
Other
How soon are you ready to start?*
As soon as possible
Within the next 6 months
Within the next year
No plans yet, need to know more
Other
Which destinations are you considering? (Please tick all that apply)*
Ukraine
USA
Guatemala
Comment
Please indicate anything that you find important for us to know
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