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Get the free Checklist for Surrogate Selection - West Virginia Center for End-of ... - wvendoflife

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Opt In INITIAL box if surrogate agrees to have this form submitted to the WV e-Directive Registry, and released to treating health care providers. Complete information to RIGHT. Last Name/First/Middle
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How to fill out checklist for surrogate selection

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How to fill out a checklist for surrogate selection:

01
Begin by gathering all the necessary information about the potential surrogates. This may include their age, health history, medical records, and lifestyle factors.
02
Assess the surrogates' mental and emotional stability. Consider their motivation for becoming a surrogate, their family background and support system, as well as any previous experiences they may have had with pregnancy or childbirth.
03
Evaluate the surrogates' physical health and ability to carry a pregnancy. This may involve reviewing their medical records, conducting a thorough medical examination, and discussing any pre-existing conditions or medications they may be taking.
04
Consider the surrogates' lifestyle and habits. Assess factors such as smoking, alcohol or drug use, and general lifestyle choices that may affect their ability to carry a healthy pregnancy.
05
Evaluate the surrogates' understanding of the surrogacy process and their willingness to comply with any necessary procedures or restrictions. This may involve discussing their understanding of the legal and ethical aspects of surrogacy, as well as their willingness to follow any medical instructions or attend required appointments.

Who needs a checklist for surrogate selection:

01
Intended parents or couples who are considering the option of surrogacy to have a child of their own.
02
Surrogacy agencies or professionals who assist in matching intended parents with potential surrogates.
03
Medical professionals involved in the process of screening potential surrogates, such as fertility specialists, obstetricians, or mental health professionals.
In summary, anyone involved in the process of selecting a surrogate or evaluating potential surrogates may benefit from using a checklist to ensure that all relevant factors are considered and assessed.
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The checklist for surrogate selection is a tool used to ensure that potential surrogates meet the necessary criteria to carry a child for intended parents.
Intended parents or their representatives are required to file the checklist for surrogate selection.
The checklist for surrogate selection is typically filled out by providing information and documentation related to the surrogate's medical history, psychological evaluation, lifestyle habits, and willingness to undergo medical procedures.
The purpose of the checklist for surrogate selection is to assess the suitability of a potential surrogate based on certain criteria to ensure a successful surrogacy arrangement.
The checklist for surrogate selection may include information such as medical records, psychological evaluations, criminal background checks, and financial information.
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