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DONOR 1
Fullname
25052023_2
Country
USA
Address
Eye Color
Green
Hair Color
Light Brown
Height
6 foot 2 inches
Ethnicity
White/Caucasian
Education
PhD/Post Doctoral
Hobbies
Fishing, Reading, Working out/exercising
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
academics, swimming (marathon), weights, fly-fishing, golf
DONOR 2
Fullname
25052023_1
Country
USA
Address
Eye Color
Brown
Hair Color
Black
Height
4 foot 10 inches
Ethnicity
Asian
Education
High school
Hobbies
Anything else would you like to mention about your family medical history to the
Adoptive parent
home-making, baking
Anything else would you like to mention about your talents,skills,interests
BASIC INORMATION
Full name
25052023_2
25052023_1
Country
USA
USA
Address
Eye color
Green
Brown
Hair color
Light Brown
Black
Height
6 foot 2 inches
4 foot 10 inches
Ethnicity
White/Caucasian
Asian
Education
PhD/Post Doctoral
High school
Hobbies
Fishing, Reading, Working out/exercising
Anything else would you like to mention about your talents, skills, interests
academics, swimming (marathon), weights, fly-fishing, golf
home-making, baking
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
excellent
Have the embryos been genetically tested
No
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 15 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
Donor child
Donor child
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Donor
Huntington’s disease
Lupus
Donor
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
Donor child
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Hemochromatosis
High blood pressure
Donor
Huntington’s disease
Lupus
Donor
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
DONOR 2
allergy
alzheimer
anxiety
asthma
autism
Donor child
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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