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DONOR 1
Fullname
12012023_1
Country
USA
Address
Eye Color
Brown
Hair Color
Dark Brown
Height
5'11
Ethnicity
Mixed race
Latino/Hispanic and White/Caucasian
Education
Graduate degree
Hobbies
Eating, Playing sports
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
12012023_2
Country
USA
Address
Eye Color
Blue
Hair Color
Light Brown
Height
6'2
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Cooking, Playing an instrument, Playing sports, Playing video games, 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
BASIC INORMATION
Full name
12012023_1
12012023_2
Country
USA
USA
Address
Eye color
Brown
Blue
Hair color
Dark Brown
Light Brown
Height
5'11
6'2
Ethnicity
Mixed race
Latino/Hispanic and White/Caucasian
White/Caucasian
Education
Graduate degree
Bachelor’s degree
Hobbies
Eating, Playing sports
Cooking, Playing an instrument, Playing sports, Playing video games, 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
Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
3
AA
Have the embryos been genetically tested
Yes
Do you know the gender of the embryos
XX, XY, XY
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
No. We became pregnant naturally and didn't attempt to implant
5-7 days
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 5 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
Donor
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Donor's parent
Celiac disease
Cystic fibrosis
Donor's grandparent
Depression
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Donor's grandparent
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
Donor's parent
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Donor's parent
Celiac disease
Cystic fibrosis
Donor's grandparent
Depression
Diabetes
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Donor's grandparent
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
diabetes
epilepsy
fibromyalgia
fragile x syndrome
heart conditions
Donor's parent
hemochromatosis
high blood pressure
huntington's disease
lupus
marfan syndrome
multiple sclerosis
obesity
phenylketonuria
polycystic kidney disease
rheumatoid arthritis
schizophrenia
stroke
substance abuse
Donor's parent
Information on egg/sperm donor
Letter
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