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24122025_2

&

Egg Donor

DONOR 1

Fullname

24122025_2

Country

US

Address

Eye Color

Blue

Hair Color

Dark Brown

Height

5'6"

Ethnicity

White/Caucasian

Education

PhD/Post Doctoral

Hobbies

Bicycling, Cooking, Reading, Working out/exercising, Woodworking, Listening to music

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

Egg Donor

Country

Address

Eye Color

Blue

Hair Color

Dark Brown

Height

5'10"

Ethnicity

White/Caucasian

Education

Hobbies

Playing an instrument, Playing sports

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

24122025_2

Egg Donor

Country

US

Address

Eye color

Blue

Blue

Hair color

Dark Brown

Dark Brown

Height

5'6"

5'10"

Ethnicity

White/Caucasian

White/Caucasian

Education

PhD/Post Doctoral

Hobbies

Bicycling, Cooking, Reading, Working out/exercising, Woodworking, Listening to music

Playing an instrument, Playing sports

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?

2

BC

Have the embryos been genetically tested

Do you know the gender of the embryos

No

No

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

Yes

Day6

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 5 years ago

Less than 25 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

Alzheimer

Anxiety

Asthma

Donor, Donor child

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor, 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

Donor, Donor child

Alzheimer

Anxiety

Asthma

Donor, Donor child

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor, 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

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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