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DONOR 1
Fullname
07042023_1
Country
USA
Address
Eye Color
Green
Hair Color
Dark Brown
Height
5'5"
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Cooking, Reading, Hiking, Keeping pets, Listening to music, Taking care of animals, Taking care of people, Visiting with friends, Watching TV or movies, 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
I'm a very good dancer!
DONOR 2
Fullname
07042023_2
Country
USA
Address
Eye Color
Brown
Hair Color
Dark Brown
Height
5'9"
Ethnicity
White/Caucasian
Education
PhD/Post Doctoral
Hobbies
Camping, Bicycling, Hiking, Working out/exercising, Watching TV or movies, Playing sports, Playing video games, Reading, Visiting with friends, Writing, Listening to music
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
07042023_1
07042023_2
Country
USA
USA
Address
Eye color
Green
Brown
Hair color
Dark Brown
Dark Brown
Height
5'5"
5'9"
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
PhD/Post Doctoral
Hobbies
Cooking, Reading, Hiking, Keeping pets, Listening to music, Taking care of animals, Taking care of people, Visiting with friends, Watching TV or movies, Working out/exercising
Camping, Bicycling, Hiking, Working out/exercising, Watching TV or movies, Playing sports, Playing video games, Reading, Visiting with friends, Writing, Listening to music
Anything else would you like to mention about your talents, skills, interests
I'm a very good dancer!
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?
5
XBAB, EBAA, XBAB, EBAA, EBAB
Have the embryos been genetically tested
No
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 15 years ago
Less than 35 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 parent, Donor's grandparent
Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
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 parent, Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Donor
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
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
Information on egg/sperm donor
Letter
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