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12102025_1

&

12102025_2

DONOR 1

Fullname

12102025_1

Country

USA

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5'5

Ethnicity

Latino/Hispanic

Education

Graduate degree

Hobbies

Eating, Cooking, Reading, Fishing, Listening to music, Visiting with friends, Taking care of people, Watching TV or movies

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 like to plan parties and host family and friends.

DONOR 2

Fullname

12102025_2

Country

USA

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

6'0

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Being a leader of a group, Playing video games, Using a computer, Watching TV or movies, Eating, Listening to music

Anything else would you like to mention about your family medical history to the
Adoptive parent

I am a certified scuba diver.

Anything else would you like to mention about your talents,skills,interests 

BASIC INORMATION

Full name

12102025_1

12102025_2

Country

USA

USA

Address

Eye color

Brown

Brown

Hair color

Dark Brown

Dark Brown

Height

5'5

6'0

Ethnicity

Latino/Hispanic

White/Caucasian

Education

Graduate degree

Graduate degree

Hobbies

Eating, Cooking, Reading, Fishing, Listening to music, Visiting with friends, Taking care of people, Watching TV or movies

Being a leader of a group, Playing video games, Using a computer, Watching TV or movies, Eating, Listening to music

Anything else would you like to mention about your talents, skills, interests

I like to plan parties and host family and friends.

I am a certified scuba diver.

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?

1

6AA

Have the embryos been genetically tested

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

No

5-7 days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 2 years ago

Less than 40 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 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

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

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

Donor

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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