Supportive. Thoughtful. Personalized.

Welcome to Makana Health, where your family building journey is at the center of everything we do.

Our team of Licensed Clinical Psychologists serves clients across 42 states through secure, HIPAA-compliant telehealth. We provide comprehensive psychological evaluations and personalized consultations for all your third-party fertility needs.

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Our Services

  • Supporting the emotional well-being and psychological preparedness of gestational carriers is an essential part of a safe and ethical surrogacy journey. In alignment with the guidelines set by the American Society for Reproductive Medicine (ASRM), our thorough psychological evaluation is designed to assess a candidate’s mental health, emotional resilience, and readiness for the surrogacy process.

    What’s Included in the Surrogacy Evaluation?

    • Clinical Interview
      A structured conversation exploring psychosocial history, reproductive experiences, lifestyle, and relationship dynamics. When relevant, we may also include a partner or spouse to discuss emotional and practical aspects of the journey—from IVF to childbirth and postpartum recovery.

    • Personality Assessment Inventory (PAI)
      A reliable, research-based tool that assesses personality characteristics, emotional stability, and any mental health considerations that could impact the surrogacy experience.

    • Detailed Psychological Report
      Upon completion of the evaluation, we compile a comprehensive report summarizing the carrier’s psychological readiness, identifying any potential concerns, and determining overall suitability for participation in the surrogacy process.

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  • Prior to participating in egg or sperm donation, all prospective donors are required to complete a thorough psychological evaluation, in accordance with guidelines from the American Society for Reproductive Medicine (ASRM). This evaluation ensures that donors are making well-informed choices, safeguards their emotional well-being, and identifies any psychological risks.

    What to Expect During the Evaluation?

    • Clinical Interview
      A thorough interview explores the donor’s family and psychiatric history, coping strategies, reproductive background, current stressors, and reasons for donating. This ensures the donor fully understands the process and is making a voluntary, informed decision with minimal emotional risk.

    • Psychoeducation Session
      Donors are educated on the psychological and emotional implications of donation. Topics include potential medical risks, the possibility of future contact with donor-conceived individuals, and how to approach disclosure to family or partners.

    • Personality Assessment Inventory (PAI)
      Donors complete a scientifically validated assessment that evaluates personality traits, emotional functioning, and potential mental health concerns.

    Final Evaluation Report
    A comprehensive report summarizing the psychological findings is provided to the medical team or agency managing the donation, supporting safe and responsible donor participation.

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  • Embryo donation is a remarkable and selfless act, offering hope to those longing to build a family. Because it involves the genetic contributions of both donors, it’s important that all individuals involved are thoughtfully assessed. At Makana Health, we provide comprehensive psychological evaluations to support emotional readiness, informed decision-making, and the well-being of everyone participating in this meaningful journey.

    What to Expect During the Evaluation?

    • Thorough Evaluation
      A single, in-depth session focused on confirming the emotional and psychological suitability of our embryo donors. This comprehensive assessment covers all necessary checks in one efficient appointment, whether evaluating one donor or both genetic parents.

    • Risk Analysis
      We carefully assess any mental or emotional health risks related to the donors, prioritizing the safety and well-being of both donors and intended recipients.

    • Findings and Support
      After completing the assessments, we deliver a detailed report to the prospective recipients outlining the results and any recommendations. We also provide guidance and assistance to help navigate the complexities of embryo donation, including conversations about future contact and disclosure.

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  • Choosing to grow your family through a gestational carrier is a deeply personal decision that involves emotional, ethical, and practical considerations. Our psychological consultations are designed to support intended parents with expert guidance as they navigate the surrogacy process.

    What the Consultation Includes?

    • Establishing the Relationship with Your Gestational Carrier
      Explore your preferences around communication, boundaries, and the nature of your relationship with the carrier—before, during, and after the pregnancy.

    • Embryo Transfer Planning
      Discuss your options regarding the number of embryos to transfer and the potential emotional, medical, and ethical implications of single versus multiple embryo transfers.

    • Emotional and Psychological Readiness
      Address common emotional experiences, such as feelings of loss of control, connection to the pregnancy, and expectations throughout the journey.

    • Legal and Ethical Awareness
      Gain insight into the psychological dimensions of surrogacy agreements, legal responsibilities, parental rights, and possible future complexities.

    Meeting Clinic and Agency Requirements
    Most fertility clinics and surrogacy agencies require a psychological consultation as part of the approval process for intended parents.

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  • Choosing to build your family through donor eggs, sperm, or embryos is a meaningful and multifaceted decision. Our psychological consultations offer intended parents compassionate support, expert guidance, and essential education to help them move through the process with clarity and confidence.

    What the Consultation Includes?

    • Emotional and Psychological Readiness
      Reflect on your feelings about using donor gametes or embryos, and explore any emotional concerns or questions you or your partner may have.

    • Guidance on Disclosure
      Learn how to approach conversations with your future child about their donor origins—covering timing, age-appropriate language, and the long-term emotional impact.

    • Selecting a Donor
      Receive support in choosing a donor who reflects your values, parenting goals, and emotional comfort level.

    • Review of Personal and Family Background
      Discuss your reproductive history and relationship dynamics to ensure that all relevant factors are considered in your decision-making.

    Education on the Donor Process
    Gain a deeper understanding of the psychological dimensions of third-party reproduction, including potential ethical concerns, future identity questions for the child, and considerations for long-term family well-being.

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  • At Makana Health, we are committed to guiding you through every step of your surrogacy journey. A pre-embryo transfer meeting between the gestational carrier and intended parents offers a supportive space to align expectations, set communication preferences, and build mutual understanding, creating a foundation of trust and collaboration for a positive experience.

    Topics Covered in the Joint Meeting

    • Communication Preferences: Agree on how often and by what methods to stay in touch during and after pregnancy.

    • Relationship Boundaries: Discuss comfort levels around interactions, updates, appointments, and future contact.

    • Decision-Making: Establish how decisions will be made and how disagreements will be resolved.

    • Emotional Support: Share hopes and concerns to ensure both parties feel understood and supported.

    • Compatibility: Confirm alignment of values, goals, and expectations to move forward confidently.

    Request Appointment

Makana Health’s dedicated Licensed Clinical Psychologists are passionate about supporting individuals and families on their journey through fertility and third-party reproduction. We deliver high-quality Biopsychosocial Evaluations and Consultations. Our services ensure privacy, accessibility, and personalized care in a secure virtual environment.


Step-by-Step Guide:

  • 1. Contact Us.

    Complete the contact form or give us a call and our team will be in touch to schedule your appointment. Contact Us.

  • 2. Join Client Portal.

    You will receive an email with a secure link to get started. From there, create an account and complete your profile.

  • 3. Consent to Treatment.

    Complete all required informed consent and release of information documentation in the client portal.

  • 4. Attend Your Evaluation or Consultation.

    Meet with a licensed clinician to discuss your needs and complete the clinical interview.

  • 5. Complete the PAI® (if applicable).

    If required, you will receive a secure link to complete the Personality Assessment Inventory.

  • 6. Receive Your Clearance Report.

    Your evaluation will be reviewed, and a written summary report will be sent to your agency/clinic.

Why Choose Us?

💼 Your Evaluation, Handled with Expertise

Our Licensed Clinical Psychologists bring extensive experience in surrogacy and third-party reproduction. We assess emotional readiness, psychological strength, and long-term wellbeing, ensuring a safe, informed journey from beginning to end.

🕒 Flexible Scheduling, Nationwide Access

We offer appointments every day of the week, including weekends and holidays, with availability from early morning to late evening. Our services are available in 42 states. No long waitlists. No hassle.

🔐 Private, Secure, and Supportive

Every session is conducted via a HIPAA-compliant platform, providing a confidential space where you can speak freely. Whether you're a gestational carrier, traditional surrogate, or intended parent, you'll be met with professionalism, empathy, and zero judgment.

🧾 Clear, Actionable Reports

Following your evaluation, you’ll receive a detailed psychological report tailored to your situation. Our summaries are clear, practical, and designed to support agencies, clinics, and intended parents in making confident, well-informed decisions.

Contact us

Drop us a note here! Or for appointment requests click here, and for referring providers click here.

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