top of page
_1.webp)
DONOR 1
Fullname
02082024_1
Country
United States
Address
Eye Color
Blue
Hair Color
Blond
Height
5'3"
Ethnicity
White/Caucasian
Education
PhD/Post Doctoral
Hobbies
Reading, Going to church/temple, Listening to music, Keeping pets, Sewing/knitting, Visiting with friends, Taking care of people, Taking care of animals, Working out/exercising
Anything else would you like to mention about your family medical history to the
Adoptive parent
Anything else would you like to mention about your talents,skills,interests
DONOR 2
Fullname
02082024_2
Country
United States
Address
Eye Color
Brown
Hair Color
Dark Brown
Height
5'9"
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Being a leader of a group, Eating, Camping, Collecting things, Gardening, Reading, Keeping pets, Hunting, Taking care of people, Visiting with friends, Working out/exercising, Woodworking, Watching TV or movies, Taking care of animals
Anything else would you like to mention about your family medical history to the
Adoptive parent
Anything else would you like to mention about your talents,skills,interests
BASIC INORMATION
Full name
02082024_1
02082024_2
Country
United States
United States
Address
Eye color
Blue
Brown
Hair color
Blond
Dark Brown
Height
5'3"
5'9"
Ethnicity
White/Caucasian
White/Caucasian
Education
PhD/Post Doctoral
Bachelor’s degree
Hobbies
Reading, Going to church/temple, Listening to music, Keeping pets, Sewing/knitting, Visiting with friends, Taking care of people, Taking care of animals, Working out/exercising
Being a leader of a group, Eating, Camping, Collecting things, Gardening, Reading, Keeping pets, Hunting, Taking care of people, Visiting with friends, Working out/exercising, Woodworking, Watching TV or movies, Taking care of animals
Anything else would you like to mention about your talents, skills, interests
Anything else would you like to mention about your family medical history to the
adoptive parent
Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
2
unsure
Have the embryos been genetically tested
Yes
Do you know the gender of the embryos
No
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
Yes
5-7 days
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 10 years ago
Less than 30 years old
Have the embryos from this batch been already donated to another adoptive parent
No
Embryo
MEDICAL HISTORY
DONOR 1
DONOR 2
Allergy
Donor
Alzheimer
Donor's grandparent
Anxiety
Donor
Asthma
Donor, Donor child
Autism
Bipolar disorder
Cancer
Donor's grandparent
Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's grandparent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's grandparent
Donor's parent, Donor's grandparent
Hemochromatosis
High blood pressure
Donor's parent, Donor's grandparent
Donor's grandparent
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Donor's parent
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Donor's grandparent
Substance abuse
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor
Alzheimer
Anxiety
Donor
Asthma
Donor, Donor child
Autism
Bipolar disorder
Cancer
Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's grandparent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's grandparent
Hemochromatosis
High blood pressure
Donor's parent, Donor's grandparent
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Donor's grandparent
Substance abuse
DONOR 2
allergy
alzheimer
Donor's grandparent
anxiety
asthma
autism
bipolar disoder
cancer
Donor's grandparent
celiac disease
cystic fibrosis
depression
diabetes
epilepsy
fibromyalgia
fragile x syndrome
heart conditions
Donor's parent, Donor's grandparent
hemochromatosis
high blood pressure
Donor's grandparent
huntington's disease
lupus
marfan syndrome
multiple sclerosis
obesity
Donor's parent
phenylketonuria
polycystic kidney disease
rheumatoid arthritis
schizophrenia
stroke
substance abuse
Information on egg/sperm donor
Letter
bottom of page