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Family Source Consultants Surrogacy Grant | National
Open on September 1st, 2026 | Closed November 1st, 2026
With our partnership, each grant covers the following:
Full Surrogacy Program Agency Fee
*All additional expenses for treatment, donor eggs/sperm, medications, elective services/testing such as PGD (genetic testing) as well as the fees associated with the surrogate must be covered by the patient. Refer to the additional documentation provided by Family Source Consultants for additional details.
- Be a resident in any state of the United States of America;
- Be less than 50 years of age;
- Have a diagnosis of infertility certified by a medical provider, with exception for: Applicants who are single, or part of a same sex relationship;
- Have no infertility insurance coverage or have exhausted benefits. If a patient has coverage for monitoring and/or medications, they will still be considered. Patient(s) would be responsible for any deductibles or copays;
- Must confirm financial stability, basic health insurance, adequate living arrangements, and means for child support;
- Be under the care or willing to be under the care of Family Source Consultants;
- Be able and willing to start treatment within 3 months following receipt of award; and
- Be able and willing to start treatment within 3 months following receipt of award;
- Be willing to receive a background check.
- 1Complete Wedge Video Interview by clicking button below
- 2Download and sign Permission to Release Information Including Photographs, Videos, Audio, Electronic, or Other Media Form Download
- 3Download and sign HIPAA Authorization Form Download
- 4A copy of your and your spouse/partners Drivers License or State Identification card
- 5A copy of your insurance card;
- 6A copy of your last pay stub (and your spouse or partner), if applicable;
- 7A copy of your most recent tax return
- 8A copy of your medical records from the current reproductive endocrinologist;
- 9Must have had a prior consultation with the treating office
- 10Fill out Grant Application by clicking button below
- 11Download and sign The Brilora Grant Overview Form Download
Brilora Grant funds will NOT be paid to the applicant or his or her spouse or partner; rather funds shall be paid directly to the healthcare providers and/or pharmacies. This grant does NOT reimburse any services or treatment received or
elected for prior to being awarded the grant.
Brilora Grants are limited by the amount of funds received via donations and are awarded as frequently as possible. All applicants will receive an email to confirm submission of his or her application, and certain selected grant recipient(s) will be contacted by Brilora. Announcement of such selected recipient(s) will be highlighted on social media within two months following the grant submission deadline.
Applicant understands and agrees that submission of his or her application does not guarantee that he or she will be selected for a Brilora Grant.
Ready to Apply?
You will need to utilize both buttons below to complete both aspects of the application.