Buy and use this template form to prepare a Surrogate Parenting Agreement for the USA, between a man whose wife cannot conceive (the natural father), a woman who will act as surrogate mother, and her husband (this agreement assumes that the surrogate is married). Provisions of the Agreement include:

• The surrogate and her husband give up all parental or other rights to any child born pursuant to the agreement.


• The surrogate and her husband will undergo physical, genetic and psychiatric evaluations, and the husband agrees to undergo any required tests to determine paternity of the child.


• The surrogate will undergo prenatal testing, and agrees not to smoke, drink, or take any prescription or non-prescription medications without the doctor's written instructions.


• The surrogate will be artificially inseminated with the natural father's semen and if successful in becoming pregnant, will carry the child to term, barring any complications.


• For conceiving and giving birth to the child, the surrogate will be paid compensation for services rendered and expenses incurred, which is not to be considered a fee or as payment in exchange for surrendering the child for adoption.


• The surrogate and her husband assume all risks involved with conception, pregnancy and childbirth, and indemnify the natural father and his wife against any claims, including death, injury and illness.

This generic Surrogate Parenting Agreement is provided in MS Word format, and is fully editable to meet your needs.