Surrogacy & Donor Psychological Evaluations
ASRM-aligned psychological evaluations and psychoeducational consultations for gestational carriers (surrogates), egg, sperm, and embryo donors, and intended and recipient parents, by secure telehealth in 46 states.
Gestational carriers
Gestational Carrier Psychological Evaluations+
For gestational carriers and their partners, completed before matching or legal.
- Clinical interview
- Partner interview when applicable
- PAI personality assessment
- Written report to your clinic or agency
Joint Sessions+
For intended parents with their gestational carrier or directed (identified) donor, before the agreement is final.
- Communication style and frequency
- Boundaries and expectations
- Medical decision-making
- Shared values
Egg, sperm & embryo donors
Donor Psychological Evaluations+
For egg and sperm donors, directed (identified) and nonidentified.
- Clinical interview
- Future contact and disclosure
- PAI personality assessment
- Written report to your clinic or agency
Embryo Donation Consultations+
For embryo donors and embryo recipients.
- Readiness and decision-making
- Disclosure and future contact
- Relationships between donor and recipient families
Intended & recipient parents
IP Psychoeducational Consultation+
Implications counseling for intended parents working with a gestational carrier, through an agency or independently.
- Fertility history and the path to surrogacy
- Shared decision-making and readiness
- Expectations for the carrier relationship
- Embryo transfer and medical decisions
- Postpartum and disclosure planning
Recipient Parent Psychoeducational Consultation+
For recipient parents working with donated eggs, sperm, or embryos.
- Readiness for donor conception
- Disclosure to children
- Future contact with donors and donor siblings
- Family, cultural, or religious considerations
How it works
Book or get referred
Book directly, or your agency or clinic sends a referral.
Complete intake, then meet
Intake forms are due before the session. The secure video link follows.
Report to your program
A written, ASRM-aligned report goes to your clinic, agency, or attorney with your consent.
Support after the evaluation
Gestational Carrier Wellness Support
Monthly check-ins for carriers through pregnancy and postpartum.
Learn moreIntended Parent Wellness Support
Support through transfer cycles, loss, pregnancy, and the move into parenthood.
Learn moreConflict and match support
Neutral sessions that repair communication and keep a match on track before issues escalate.
Therapy for those still deciding
Space to work through grief or uncertainty before choosing surrogacy or donor conception.
Learn moreOur clinical team
Our licensed psychologists and therapists focus on gestational surrogacy and donor conception. Through multi-state licensure and PsyPact authorization, we complete evaluations by secure telehealth in 46 states.
Meet the teamStates we serve
Evaluations and psychoeducational consultations by secure telehealth in 46 states. We do not currently cover Iowa, Louisiana, Massachusetts, or New Mexico. Linked states have a guide to local surrogacy law.
View all states+
- Alabama
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- District of Columbia
- Florida
- Georgia
- Hawaii
- Idaho
- Illinois
- Indiana
- Kansas
- Kentucky
- Maine
- Maryland
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming
Agencies & clinics
Connect for Agency PartnershipsReferral forms+
Surrogacy and donor evaluation FAQs
Do surrogates need a psychological evaluation?
Yes, in nearly every surrogacy journey. ASRM recommends a psychological evaluation for every gestational carrier and her partner, and most fertility clinics and agencies require it before matching or embryo transfer. The evaluation includes a clinical interview, a partner interview when applicable, and the PAI personality assessment.
Does a gestational carrier's partner need to be evaluated?
Yes, when she has a partner. ASRM guidelines include the partner in the screening, so we meet with the partner as part of the gestational carrier evaluation. The conversation covers the partner's support during the pregnancy and how the household will manage the medical process.
Do egg and sperm donors need a psychological evaluation?
Egg donors almost always do; clinics and agencies require it following ASRM guidance. For directed (identified) egg or sperm donors, ASRM guidelines call for three sessions: the donor evaluation, a recipient parent consultation, and a joint session. Most clinics follow this.
What is the difference between a Directed (identified) and a Nonidentified donor evaluation?
In a Directed (identified) donation, the donor and recipient parents know each other, and the process includes a donor evaluation, a recipient parent consultation, and a joint session. In a Nonidentified donation, the donor and recipient parents do not know each other, so the donor is evaluated on their own without a joint session.
Do intended parents need a psychological consultation?
Most clinics and agencies require one for intended parents working with a gestational carrier and for recipient parents working with a donor. The session covers expectations, the carrier or donor relationship, and disclosure planning.
What is a joint session?
A joint session is a meeting with the gestational carrier and the intended parents together, or with a Directed (identified) donor and the recipient parents. We talk through expectations, communication, decision-making, and the relationship before the journey begins.
Can the evaluation be done online?
Yes. All evaluations and consultations are completed by secure telehealth, so you can complete yours from home.
Who receives the evaluation report?
With your written consent, the report goes to your fertility clinic, surrogacy or donor agency, or reproductive attorney.
Is the evaluation covered by insurance?
No. Psychological evaluations and consultations for third-party reproduction are required clearances, not therapy, so they are not billed to insurance.
Schedule a psychological evaluation.
Agencies and clinics: refer a candidate or set up a partnership.