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DONOR 1
Fullname
20062023_2
Country
United States
Address
Eye Color
Hazel
Hair Color
Dark Brown
Height
5' 9"
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Cooking, Going to church/temple, Playing an instrument, Hiking, Listening to music, Singing
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
20062023_1
Country
United States
Address
Eye Color
Hazel
Hair Color
Light Brown
Height
5' 4"
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Beauty and hair care, Going to church/temple, Listening to music, Working out/exercising, Visiting with friends, Being a leader of a group
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
20062023_2
20062023_1
Country
United States
United States
Address
Eye color
Hazel
Hazel
Hair color
Dark Brown
Light Brown
Height
5' 9"
5' 4"
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
Bachelor’s degree
Hobbies
Cooking, Going to church/temple, Playing an instrument, Hiking, Listening to music, Singing
Beauty and hair care, Going to church/temple, Listening to music, Working out/exercising, Visiting with friends, Being a leader of a group
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?
1
A
Have the embryos been genetically tested
Yes
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
Not sure
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 10 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, Donor child
Donor
Alzheimer
Anxiety
Donor child
Donor, Donor child
Asthma
Autism
Bipolar disorder
Donor child
Cancer
Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Donor child
Diabetes
Donor's grandparent
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
Donor's grandparent
Substance abuse
Donor child
Donor's grandparent
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor, Donor child
Alzheimer
Anxiety
Donor child
Asthma
Autism
Bipolar disorder
Donor child
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor child
Diabetes
Donor's grandparent
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 child
DONOR 2
allergy
Donor
alzheimer
anxiety
Donor, Donor child
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
Donor's grandparent
substance abuse
Donor's grandparent
Information on egg/sperm donor
Letter
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