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12022024_1

&

12022024_2

DONOR 1

Fullname

12022024_1

Country

United States of America

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5’5”

Ethnicity

Latino/Hispanic

Education

Some college

Hobbies

Beauty and hair care, Cooking, Drawing/painting, Gardening, Going to church/temple, Listening to music, Visiting with friends, 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

12022024_2

Country

United States

Address

Eye Color

Brown

Hair Color

Black

Height

5'7"

Ethnicity

Latino/Hispanic

Education

Some college

Hobbies

Keeping pets, Going to church/temple, Playing sports, Visiting with friends, Watching TV or movies, Being a leader of a group, Hiking, Listening to music, 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 

BASIC INORMATION

Full name

12022024_1

12022024_2

Country

United States of America

United States

Address

Eye color

Brown

Brown

Hair color

Dark Brown

Black

Height

5’5”

5'7"

Ethnicity

Latino/Hispanic

Latino/Hispanic

Education

Some college

Some college

Hobbies

Beauty and hair care, Cooking, Drawing/painting, Gardening, Going to church/temple, Listening to music, Visiting with friends, Working out/exercising

Keeping pets, Going to church/temple, Playing sports, Visiting with friends, Watching TV or movies, Being a leader of a group, Hiking, Listening to music, Taking care of animals, Working out/exercising

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?

5

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

yes

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

3 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 2 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

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's parent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor's parent

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

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor's parent

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

diabetes

Donor's parent

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