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24022026_1

&

24022026_2

DONOR 1

Fullname

24022026_1

Country

United States

Address

Eye Color

Hazel

Hair Color

Blond

Height

5’8”

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Being a leader of a group, Belonging to a club, Camping, Cooking, Drawing/painting, Eating, Horseback riding, Keeping pets, Listening to music, Playing sports, Taking care of animals, Using a computer, Visiting with friends, Working out/exercising

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

Only major history noted on mother’s side is multiple sclerosis which is very stable with medications. Donors mother also had multiple sclerosis. No notable health history on donors father’s side.

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

DONOR 2

Fullname

24022026_2

Country

United States

Address

Eye Color

Brown

Hair Color

Light Brown

Height

6’5”

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Being a leader of a group, Cooking, Keeping pets, Listening to music, Playing an instrument, Playing sports, Taking care of people, Playing video games, Singing, Visiting with friends, Using a computer

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

Nurse manager of a cardiac unit. Very technologically skilled, leadership, teamwork and hardworking qualities.

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

BASIC INORMATION

Full name

24022026_1

24022026_2

Country

United States

United States

Address

Eye color

Hazel

Brown

Hair color

Blond

Light Brown

Height

5’8”

6’5”

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Bachelor’s degree

Hobbies

Being a leader of a group, Belonging to a club, Camping, Cooking, Drawing/painting, Eating, Horseback riding, Keeping pets, Listening to music, Playing sports, Taking care of animals, Using a computer, Visiting with friends, Working out/exercising

Being a leader of a group, Cooking, Keeping pets, Listening to music, Playing an instrument, Playing sports, Taking care of people, Playing video games, Singing, Visiting with friends, Using a computer

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

Nurse manager of a cardiac unit. Very technologically skilled, leadership, teamwork and hardworking qualities.

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

Only major history noted on mother’s side is multiple sclerosis which is very stable with medications. Donors mother also had multiple sclerosis. No notable health history on donors father’s side.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

2

Day 6: 5BA
Day 7: 5BB

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

Yes

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

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Donor, Donor's parent

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Donor, Donor's parent

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

Donor, Donor's parent

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

Donor, Donor's parent

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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