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Surrogate Reimbursement Form

Conceptual Options’ Surrogacy Agency Protocol requires that all surrogates submit all requests for payment and/or reimbursement for items listed in the surrogacy contract no later than 15 days before the payment is due. Funds are paid out of expense accounts on the 1st of every month unless your contract stipulates otherwise. If requests are not received by the 15th, your payment may be delayed. *

*** If you have RX reimbursements, health insurance premiums, life insurance or copy reimbursements medical bills you must fax, email or mail them directly to billing@conceptualoptions.com ***

Surrogate Reimbursement Form

Surrogate Reimbursement Form

Conceptual Options’ Surrogacy Agency Protocol requires that all surrogates submit all requests for payment and/or reimbursement for items listed in the surrogacy contract no later than 15 days before the payment is due. Funds are paid out of expense accounts on the 1st of every month unless your contract stipulates otherwise. If requests are not received by the 15th, your payment may be delayed. *

*** If you have RX reimbursements, health insurance premiums, life insurance or copy reimbursements medical bills you must fax, email or mail them directly to Jennifer. Her email address is billing@conceptualoptions.com ***

Surrogate Reimbursement Form

Surrogate Referral Bonus Program:

Referral Bonus Program

Do you know a woman who would be a fantastic Surrogate? Refer her to our program and get a bonus!

Contact Us
Referal amount: $1,000

Refer a first-time Surrogate to our program, you will receive a $1,000 gift card when she receives legal clearance.

Referal amount: $2,000

If you refer an experienced Surrogate to our program.

Referal amount: $1,500

Refer a first-time Surrogate to our program and she has all of her birth and OB medical records.

Referal amount: $2,500

Refer an experienced Surrogate with all of her birth and OB medical records.

*Referral fees are only received once a referred Surrogate receives legal clearance.

*If you have any additional questions about the referral program, please get in touch with one of our Surrogate Intake Team Members:
Intake@ConceptualOptions.com