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05112025_1

&

05112025_2

DONOR 1

Fullname

05112025_1

Country

United States

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5’5”

Ethnicity

Black/African descent

Education

Some college

Hobbies

Beauty and hair care, Gardening, Keeping pets, Eating, Watching TV or movies, Writing, Reading

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

05112025_2

Country

United States

Address

Eye Color

Blue

Hair Color

Light Brown

Height

5'8

Ethnicity

White/Caucasian

Education

PhD/Post Doctoral

Hobbies

Cooking, Eating, Farming, Fishing, Gardening, Hunting, Playing sports, Using a computer, Watching TV or movies, Writing

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 

Male donor has Dibetes - Type2-Pre

BASIC INORMATION

Full name

05112025_1

05112025_2

Country

United States

United States

Address

Eye color

Brown

Blue

Hair color

Dark Brown

Light Brown

Height

5’5”

5'8

Ethnicity

Black/African descent

White/Caucasian

Education

Some college

PhD/Post Doctoral

Hobbies

Beauty and hair care, Gardening, Keeping pets, Eating, Watching TV or movies, Writing, Reading

Cooking, Eating, Farming, Fishing, Gardening, Hunting, Playing sports, Using a computer, Watching TV or movies, Writing

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

Male donor has Dibetes - Type2-Pre

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

5

3 embryos - BB; 2 embryos - BC

Have the embryos been genetically tested

Do you know the gender of the embryos

Yes

Male

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 5 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

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor's parent

Diabetes

Donor

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor's parent, Donor

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

Donor's parent

diabetes

Donor

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

Donor's parent, Donor

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

Letter

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