---
title: Surrogate Mother Application Identity Verification Form Template | Paperform
description: Professional surrogate mother application form with identity verification, medical records upload, psychological evaluation consent, background check authorization, and pregnancy documentation for surrogacy agencies and fertility clinics.
url: "https://paperform.co/templates/surrogate-mother-application-identity-verification-form"
type: static
generatedAt: "2026-03-28T00:45:19.082Z"
---

[← Back to free form templates](/templates/)    ![Surrogate Mother Application Identity Verification Form](https://img.paperform.co/fetch/f_webp/https://d3gw2uv1ch7vdq.cloudfront.net/content/form_templates/assets/surrogate-mother-application-identity-verification-form.png)
    [Preview](https://_preview.paperform.co/ai-template/surrogate-mother-application-identity-verification-form) [Use this template for free](/create?ai-template=surrogate-mother-application-identity-verification-form)    [Verification & Validation Forms](/templates/category/verification/)[Application Forms](/templates/category/applications/)[Healthcare & Medical Forms](/templates/category/healthcare/)[Legal & Compliance Forms](/templates/category/legal/) [Healthcare](/templates/industry/healthcare/)[Legal](/templates/industry/legal/) [Counselor](/templates/role/counselor/)[Social Worker](/templates/role/social-worker/)[Healthcare Administrator](/templates/role/healthcare-admin/)[Lawyer](/templates/role/lawyer/)     About this free form template
### Streamline Surrogate Mother Applications with Secure Identity Verification

Finding and vetting qualified surrogate mothers requires a thorough, compassionate application process that protects all parties involved. This **Surrogate Mother Application Identity Verification Form** gives surrogacy agencies, fertility clinics, and family-building organizations a professional, HIPAA-alternative compliant way to collect critical information—from identity documents and medical records to psychological evaluation consent and background check authorization.

Built for surrogacy coordinators, reproductive health professionals, and family law practitioners, this template consolidates what would typically be dozens of separate PDFs and email exchanges into one streamlined, secure online form. Applicants can complete everything at their own pace, upload required documentation, and provide consent for necessary screenings—all while you maintain a complete audit trail.

#### Why Paperform for Surrogate Applications?

**Paperform** makes it easy to create forms that feel personal and trustworthy, not transactional. With conditional logic, you can tailor questions based on previous pregnancy history, marital status, and medical background. Secure file uploads let applicants submit ID documents, medical records, and pregnancy history safely. Payment fields can handle application fees, and booking fields can schedule initial consultations—all within the same form.

Once an application is submitted, **Stepper** (stepper.io) can automate your entire review workflow: route applications to medical reviewers, trigger background check requests, send psychological evaluation invitations, and keep your CRM updated with applicant status. If contracts or consent forms need signatures, **Papersign** (papersign.com) lets you turn submissions into legally binding eSignature documents, ensuring HIPAA-alternative compliance and a clear paper trail from application through placement.

Trusted by healthcare providers, legal professionals, and mission-driven organizations worldwide, Paperform offers SOC 2 Type II compliance, secure data handling, and the flexibility to adapt this template to your agency's specific requirements and state regulations.
       Built for growing businesses, trusted by bigger ones.   Trusted by 500K+ business owners and creators, and hundreds of millions of respondents.     ![Capterra - 4.8 out of 5](/images/capterra-st.jpg)
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