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20052024_1

&

20052024_2

DONOR 1

Fullname

20052024_1

Country

United States

Address

Eye Color

Brown

Hair Color

Dark Brown

Height

5’10”

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Being a leader of a group, Hiking, Listening to music, Taking care of people, Visiting with friends, Working out/exercising, Cooking, Reading

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

Donor (female) has antiphospholipid syndrome or APS which we believe was the cause of many miscarriages.
Donor (male) is not a carrier.

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

I love to swim, read books, cook healthy meals for my family and exercise.

DONOR 2

Fullname

20052024_2

Country

United States

Address

Eye Color

Green

Hair Color

Blond

Height

6’0”

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Reading, Hiking, 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

Additional hobbies include a love of travel and swimming.

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

BASIC INORMATION

Full name

20052024_1

20052024_2

Country

United States

United States

Address

Eye color

Brown

Green

Hair color

Dark Brown

Blond

Height

5’10”

6’0”

Ethnicity

White/Caucasian

White/Caucasian

Education

Graduate degree

Bachelor’s degree

Hobbies

Being a leader of a group, Hiking, Listening to music, Taking care of people, Visiting with friends, Working out/exercising, Cooking, Reading

Reading, Hiking, Listening to music, Visiting with friends, Working out/exercising

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

I love to swim, read books, cook healthy meals for my family and exercise.

Additional hobbies include a love of travel and swimming.

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

Donor (female) has antiphospholipid syndrome or APS which we believe was the cause of many miscarriages.
Donor (male) is not a carrier.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

14

8 untested, 6 tested and normal

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

Yes CCRM has this information

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 10 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 grandparent

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's grandparent

Hemochromatosis

High blood pressure

Donor's grandparent

Donor's grandparent

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

Donor's grandparent

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

Donor's grandparent

hemochromatosis

high blood pressure

Donor's grandparent

huntington's disease

lupus

marfan syndrome

multiple sclerosis

obesity

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

schizophrenia

stroke

substance abuse

Information on egg/sperm donor

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