Einat Ezra, LMFT Book a free call

For intended parents, donors, carriers, and the clinics who refer them

Psychological evaluations for egg donors, gestational carriers and intended parents

Conducted in line with ASRM Mental Health Professional Group guidance, by video anywhere in California or in person in Calabasas. Clearance letter to your clinic or agency within 48–72 hours of the final session.

48–72 hoursFrom final session to clearance letter, in your template. Included, no rush fee.
1–3 business daysTypical wait for an appointment. Usually a week from referral to letter.
English or HebrewInterviews and letters available in either language.

What this is

Most fertility clinics and agencies require a psychological evaluation or consultation before a donor, gestational carrier or intended parent moves forward. I provide those evaluations following ASRM Mental Health Professional Group guidance, and I deliver a written clearance letter your coordinator can file without chasing anything.

I'm also a fertility therapist, and that changes the experience. This is a required step, but it doesn't have to feel like a test. You'll leave clearer about what you're agreeing to, more prepared for the parts nobody warns you about, and with a couple of tools for the nervous-system moments ahead.

What's included

On standardized psychological testing

My evaluations are clinical psychosocial interviews. They do not include standardized psychological testing batteries such as the PAI or MMPI-2.

Many clinics and agencies accept an interview-based evaluation. If yours requires formal testing, tell me at referral and I'll say so straight away, I can refer you to a psychologist colleague who provides it, or work alongside one so the testing component is covered and you still get the fertility-specific interview. I'd rather tell you that in the first email than at the end of the process.

Who I evaluate

How it works

One

A coordinator emails a referral, or you book a free 15-minute call. Tell me at this point whether testing is required.

Two

We schedule, usually within one to three business days. Carrier-and-partner or intended-parent couples are booked together where required.

Three

We meet for 60–90 minutes and talk properly, your history, your expectations, the agreement, and what support you'll want.

Four

Your letter arrives within 48–72 hours. If anything needs more discussion before I can clear, I tell you directly first. No surprises in the letter.

Fees

If your clinic or agency needs a more elaborate report than the standard clearance letter, we'll agree that before we start. I can provide a receipt for reimbursement where evaluation costs are covered.

Questions people ask

Is this a pass/fail test?

No. It's a structured conversation about readiness, expectations and support. Most people are cleared. If something comes up that gives me pause, we discuss it openly before anything is written, you will never be surprised by the letter.

Do I have to be in California?

For evaluations I meet by video with donors, carriers and intended parents located anywhere in California. If you're outside California, contact me, depending on your clinic's requirements and your state's rules, I may be able to help or refer you to a colleague in the ASRM network.

How long does the whole process take?

Usually about a week from first contact to letter, often faster. Appointments are typically available within one to three business days, and the letter follows within 48–72 hours of the final session.

What's the difference between an evaluation and a consultation?

An evaluation ends in a clearance letter for your clinic or agency. A consultation is for intended parents or couples who want help thinking through donor or surrogacy decisions, and doesn't produce a formal letter unless you need one later.

Can it be done in Hebrew?

Yes. Interviews and letters are available in English or Hebrew.

Can you be my therapist afterwards?

Yes, and many intended parents do continue, through transfer, pregnancy after infertility, and early parenting. We'd talk about it openly first, since the evaluation and ongoing therapy are different relationships.

What does it cost?

Intended parent consultation, including the letter to your clinic: $350. One session plus the written clearance letter.

Donor or gestational carrier evaluation: $500. An 80–90 minute interview plus the written report.

The 48–72 hour turnaround is included at no extra charge. If your clinic or agency needs a more elaborate report than the standard clearance letter, we'll agree that up front.

I can provide a receipt for reimbursement where your clinic or agency covers evaluation costs.

Needs your answer: "ASRM-aligned"

I've written this as "following ASRM Mental Health Professional Group guidance," which describes your process honestly. Once you've completed the ASRM training modules you can state that directly, and if you join ASRM you can say so too, both are stronger and more specific than "aligned." Worth revisiting after the modules.

For clinics, agencies and coordinators

One email, a fast slot, and a letter that meets your template

Send a referral to einatthp@gmail.com with the subject "Third-party psych evaluation referral," or call 818-975-0053. Tell me the deadline and whether standardized testing is required, and I'll confirm the same day whether I can take it.

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