Texas Surrogate Clinic Screening: What to Expect

October 14, 2025 by Frank Golden

Texas surrogate clinic screening medical process for gestational surrogates

You’re thinking about surrogacy in Texas. You’ve heard about clinic screening. Maybe it sounds a little intimidating!

Here’s the thing: Texas surrogate clinic screening exists to protect you. It makes sure your body is ready. It confirms that pregnancy will be safe. Furthermore, it ensures that embryo transfer happens only when everything checks out medically, emotionally, and legally.

In Texas, clinic approval is required before embryo transfer can take place. Additionally, court validation of your gestational agreement must also happen before transfer. Consequently, clinic screening is a critical step that works hand-in-hand with Texas surrogacy laws to keep you safe throughout the journey.

This guide walks you through what clinic screening involves, why it matters, and how Golden Surrogacy supports Texas Surrogates every step of the way!

Table of Contents

What Is Clinic Screening in Texas Surrogacy?

Clinic screening is the in-depth medical evaluation that happens at the Intended Parents’ fertility clinic after matching. This step takes place after you’ve completed Golden Surrogacy’s Surrogate Intake Process and agency-level screening.

The Role of Fertility Clinics

Fertility clinics play a major role in gestational surrogacy. They perform embryo transfers. They monitor your pregnancy in the early weeks. Consequently, they need to confirm that your body is ready to carry a pregnancy safely!

The clinic’s medical team reviews your health history. They run diagnostic tests. They evaluate your uterus and hormone levels. Meanwhile, they also assess your mental and emotional readiness for the journey ahead.

Agency Screening vs. Clinic Screening

Golden Surrogacy completes initial screening before you ever meet Intended Parents. This includes background checks, medical records review, psychological evaluation, and OB clearance. However, the fertility clinic conducts its own independent screening once you’re matched.

Think of it this way: agency screening confirms you’re a strong candidate. Clinic screening confirms you’re medically cleared for this specific embryo transfer with these specific Intended Parents!

Why Clinic Approval Is Mandatory

In Texas, clinic approval must happen before embryo transfer. Additionally, your gestational agreement must receive court validation before transfer can proceed. Both safeguards work together to protect you legally and medically!

Texas surrogate candidate waiting at fertility clinic with medical documents for screening appointment

Medical History Review and Health Evaluation

Your clinic screening begins with a thorough review of your medical history. The clinic’s team looks at your past pregnancies, deliveries, and overall health. This step helps them understand your body’s unique story!

Review of Prior Pregnancies and Deliveries

The clinic reviews records from all of your previous pregnancies and births. They look for:

  • Uncomplicated deliveries
  • Healthy pregnancy outcomes
  • No major complications during labor
  • Recovery timelines

Furthermore, they confirm that you’ve given birth to at least one child. This shows your body can carry a pregnancy to term successfully!

General Medical History Review

The clinic asks about your overall health. They review any surgeries, chronic conditions, medications, and family medical history. For example, they want to know if you’ve had any uterine surgeries or gynecological procedures.

How This Protects Surrogate Safety

This review isn’t about judgment. It’s about safety! The clinic needs to confirm that pregnancy won’t put your health at risk. Consequently, they look for red flags that could complicate a surrogate pregnancy. This protects you, the baby, and everyone involved in the journey!

Diagnostic Testing and Physical Exams

After reviewing your history, the clinic schedules diagnostic testing. These tests give the medical team a clear picture of your current health and readiness for embryo transfer.

Blood Work and Lab Testing

Your blood work typically happens around Day 1 of your menstrual cycle. The clinic checks:

  • Hormone levels (to confirm your cycle is regular)
  • Infectious disease screening (HIV, hepatitis, syphilis, etc.)
  • Immunity to childhood illnesses (chickenpox, measles, mumps, rubella)

These tests ensure your body is healthy and ready for pregnancy!

Ultrasounds and Uterine Evaluation

The clinic performs imaging to evaluate your uterus. This may include:

  • Transvaginal ultrasound: Checks the shape and lining of your uterus
  • Hysterosalpingogram (HSG): Uses X-ray imaging to view the uterus and fallopian tubes
  • Sonohysterogram: Uses saline and ultrasound to examine the uterine cavity
  • Hysteroscopy: A small camera views the inside of your uterus (if needed)

These tests confirm that your uterus is structurally sound and ready to support embryo implantation!

Physical Exams

Your physical exam includes:

  • BMI calculation
  • Vital signs (blood pressure, heart rate, temperature)
  • Breast exam
  • Pelvic exam and Pap smear (if needed)

Additionally, the clinic confirms that you’re within the healthy BMI range required for safe pregnancy and embryo transfer.

Why These Tests Ensure Safe Embryo Transfer

These diagnostics aren’t invasive for the sake of being invasive. They protect you! The clinic needs to know that your body can handle pregnancy safely. Consequently, they look for any issues that could complicate transfer or pregnancy. This step ensures the best possible outcome for you and the baby!

Medical screening process diagram showing blood tests, ultrasound, and physical exam stages for surrogates

Psychological Screening at the Clinic Level

Medical readiness is only part of the equation. The clinic also evaluates your emotional and mental preparedness for surrogacy. This step protects your well-being throughout the journey!

Purpose of Psychological Evaluations

The clinic’s psychological screening typically involves two components:

  1. A video consultation or in-person interview with a licensed mental health professional who specializes in assisted reproductive technology
  2. A psychological assessment tool, such as the Personality Assessment Inventory (PAI)

This evaluation confirms that you understand the emotional demands of surrogacy. Furthermore, it assesses your stress management skills and support system.

Emotional Preparedness and Stress Assessment

The psychologist asks about your motivations for surrogacy. They explore how you’ll handle the emotional ups and downs of pregnancy. Additionally, they assess your coping strategies and mental health history.

For example, they want to know:

  • How you’ll manage the attachment and detachment process
  • How your family feels about your decision
  • What your support system looks like

Communication Expectations

The psychologist also evaluates your communication skills. Surrogacy requires open, honest dialogue with Intended Parents, your agency, and medical teams. Consequently, strong communication skills are essential for a positive journey!

Why Mental Health Review Protects the Surrogate

This screening isn’t about passing or failing. It’s about making sure surrogacy is the right choice for you right now. Consequently, the clinic wants to confirm that you’re entering this journey with realistic expectations, strong support, and emotional resilience. This protects your mental health throughout pregnancy and beyond!

How Clinic Approval Fits Into Texas Court Validation

In Texas, surrogacy involves a unique legal process called court validation. Understanding how clinic approval fits into this timeline is critical!

Clinic Approval Must Occur Before Embryo Transfer

Texas law requires that clinic approval happens before embryo transfer. The fertility clinic must confirm that you’re medically cleared and ready to carry a pregnancy safely. Without this approval, transfer cannot proceed!

Court Validation of Gestational Agreement Must Also Occur Before Transfer

Additionally, Texas requires court validation of your gestational agreement before embryo transfer. Your legal team files a petition with the Texas court. The court reviews the agreement and issues an order validating it. Consequently, both clinic approval and court validation must be in place before transfer!

Why Both Steps Are Legally Required in Texas

These dual safeguards protect everyone involved. Clinic approval ensures medical safety. Court validation ensures legal clarity. Furthermore, Texas law requires both steps to confirm that the surrogacy arrangement is ethical, safe, and legally sound.

For more details on how Texas surrogacy laws work, check out our guide on Texas surrogacy laws.

How Coordination Between Clinic and Legal Teams Protects Everyone

Golden Surrogacy coordinates between the clinic and your legal team. This ensures that both processes move forward smoothly. Consequently, you don’t have to manage the scheduling or communication yourself! Your agency handles the coordination so you can focus on preparing for transfer.

Surrogate meeting with mental health professional during psychological screening evaluation

Common Reasons Clinics May Request Additional Review

Sometimes, the clinic requests additional information or testing. This doesn’t mean you’ve been rejected! It simply means they need more clarity to ensure your safety.

Additional Medical Documentation

The clinic may ask for:

  • Records from a previous surgery
  • Clarification on a past pregnancy complication
  • Updated immunization records

Furthermore, they may request a letter from your primary care doctor or OB confirming that you’re healthy and cleared for pregnancy.

Follow-Up Testing

In some cases, the clinic requests follow-up tests. For example:

  • A repeat ultrasound to confirm uterine lining thickness
  • Additional blood work to recheck hormone levels
  • A follow-up consultation with a specialist

These requests are common and routine. They don’t indicate a problem! Consequently, stay patient and trust the process.

Clarifications in Records

The clinic may ask you to clarify details in your medical history. For example, they might want to know more about a previous c-section or the timeline of a past pregnancy. These clarifications help them build a complete picture of your health!

Emphasize That Additional Review Is Common and Not a Rejection

Here’s the bottom line: additional review is a normal part of clinic screening. It doesn’t mean you’re disqualified! It simply means the clinic is being thorough to protect you. Consequently, Golden Surrogacy supports you through every request, question, and follow-up appointment.

How Long Clinic Screening Takes in Texas

You’re probably wondering: how long does this process take? The answer depends on several factors!

Typical Screening Timelines

Clinic screening typically takes 4 to 8 weeks from start to finish. However, this timeline can vary based on:

  • Clinic scheduling availability
  • Timing of your menstrual cycle (for blood work and imaging)
  • How quickly medical records are retrieved
  • Whether follow-up testing is needed

Consequently, patience is key during this phase!

Factors Affecting Timing

Several factors can affect how quickly clinic screening moves forward:

  • Clinic schedules: Some clinics are busier than others, which can delay appointment availability.
  • Record retrieval: Gathering records from previous OBs or hospitals can take time.
  • Testing windows: Some tests must happen during specific days of your cycle.
  • Follow-up requests: If the clinic requests additional documentation or testing, this adds time.

Furthermore, Golden Surrogacy works to streamline the process as much as possible. However, some delays are simply part of coordinating medical appointments and legal timelines!

Why Patience During This Phase Is Important

Clinic screening can feel like a waiting game. However, this phase is essential for your safety! The clinic takes time to ensure everything is in order before moving forward. Consequently, trust the process and lean on your Golden Surrogacy support team during this time.

For more context on how clinic screening fits into the overall journey, check out our guide on the Texas surrogacy timeline.

How Golden Surrogacy Supports Surrogates Through Clinic Screening

You don’t go through clinic screening alone. Golden Surrogacy provides hands-on support at every step!

Preparation Before Clinic Visits

Before your clinic appointments, your Golden Surrogacy Care Team walks you through what to expect. They explain the tests, answer your questions, and help you feel confident and prepared. Furthermore, they coordinate scheduling so you know exactly when and where to go!

Coordination of Medical Records

Golden Surrogacy handles the retrieval and submission of your medical records. Consequently, you don’t have to chase down documents from previous doctors or hospitals. Your Care Team takes care of the paperwork so you can focus on the screening itself!

Scheduling Assistance

Coordinating clinic appointments can be tricky, especially when tests need to align with your menstrual cycle. Golden Surrogacy manages the scheduling process. They work with the clinic to book your appointments at the right times!

Communication Between Clinic and Legal Teams

In Texas, clinic approval and court validation must happen before embryo transfer. Golden Surrogacy coordinates communication between the clinic and your legal team. This ensures that both processes move forward smoothly and efficiently!

Emotional Support and Advocacy

Clinic screening can feel overwhelming. Your Golden Surrogacy Care Team provides emotional support throughout. They’re available via phone, text, and email. Additionally, they advocate for you if any issues or concerns arise during the screening process.

Founder Frank Golden leads the team with a personal, family-first approach. Consequently, you’re never just a number at Golden Surrogacy. You’re part of the family!

Coordination between fertility clinic, legal team, and surrogacy agency supporting Texas surrogates

Frequently Asked Questions About Texas Surrogate Clinic Screening

Do all Surrogates have to pass clinic screening?

Yes! Every Surrogate must complete and pass clinic screening before embryo transfer. This step is required by fertility clinics and is part of the ethical, medical, and legal safeguards that protect you.

What happens if a clinic requests more testing?

If the clinic requests additional testing, Golden Surrogacy coordinates the follow-up appointments. Additional testing doesn’t mean you’re disqualified. It simply means the clinic wants more information to ensure your safety!

Can screening delay court validation?

Clinic screening and court validation happen on parallel timelines in Texas. However, both must be completed before embryo transfer. Consequently, Golden Surrogacy coordinates both processes to minimize delays and keep your journey moving forward.

Can I decide not to proceed after screening?

Absolutely! You’re in control of your journey. If you decide surrogacy isn’t right for you after screening, you can step back at any time. Golden Surrogacy supports your decision and respects your autonomy.

For more information on what it takes to become a Surrogate in Texas, check out our guide on Texas surrogate requirements.

Moving Forward After Clinic Approval

Once the clinic clears you medically and psychologically, you’re ready for the next steps!

What Clinic Approval Means

Clinic approval means the fertility clinic has confirmed that you’re medically and emotionally ready for embryo transfer. Furthermore, it means your body is healthy, your uterus is ready, and you’re prepared for the journey ahead!

Next Steps: Legal Validation, Then Embryo Transfer

After clinic approval, your legal team finalizes the gestational agreement and files for court validation. Once the Texas court validates the agreement, you’re cleared for embryo transfer! Consequently, both clinic approval and court validation must be in place before the medical process can move forward.

Encouragement to Proceed Only When Fully Comfortable

Moving forward after clinic approval is exciting! However, it’s also important to make sure you feel 100% comfortable. Surrogacy is a big decision. Consequently, Golden Surrogacy encourages you to proceed only when you’re fully ready: mentally, emotionally, and physically.

For more details on what compensation looks like during this phase, check out our guide on Texas surrogate compensation.

Take the Next Step When You’re Ready

Clinic screening is a protective, thorough process that ensures your health and safety throughout surrogacy. In Texas, clinic approval works hand-in-hand with court validation to create a structured, legally sound journey!

Golden Surrogacy supports Texas Surrogates through every phase of clinic screening. From coordinating medical records to providing emotional support, your Care Team is with you every step of the way.

If you’re considering surrogacy in Texas, learn more about what the journey looks like. Explore whether becoming a Surrogate is right for you. And when you’re ready, take the next step with confidence!

Learn more about becoming a Surrogate with Golden Surrogacy.