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DONOR 1
Fullname
31012024_1
Country
USA
Address
Eye Color
Brown
Hair Color
Dark Brown
Height
5'7
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Camping, Cooking, Drawing/painting, Eating, Reading, Hiking, Horseback riding, Listening to music, Sewing/knitting, Watching TV or movies
Anything else would you like to mention about your family medical history to the
Adoptive parent
Chiari Malformation Type 1: donor child
Arthritis: donor, donor parent, donor grandparent
Anything else would you like to mention about your talents,skills,interests
I crochet
DONOR 2
Fullname
31012024_2
Country
USA
Address
Eye Color
Brown
Hair Color
Dark Brown
Height
6'0
Ethnicity
White/Caucasian
Education
Some college
Hobbies
Camping, Cooking, Fishing, Hunting, Playing video games, Visiting with friends, Watching TV or movies
Anything else would you like to mention about your family medical history to the
Adoptive parent
Working on vehicles
Yard work
Skilled driver- CDL
Anything else would you like to mention about your talents,skills,interests
Donors past substance abuse was 20 years ago.
Psychogenic Nonepileptic spells or seizures (PNES)
BASIC INORMATION
Full name
31012024_1
31012024_2
Country
USA
USA
Address
Eye color
Brown
Brown
Hair color
Dark Brown
Dark Brown
Height
5'7
6'0
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
Some college
Hobbies
Camping, Cooking, Drawing/painting, Eating, Reading, Hiking, Horseback riding, Listening to music, Sewing/knitting, Watching TV or movies
Camping, Cooking, Fishing, Hunting, Playing video games, Visiting with friends, Watching TV or movies
Anything else would you like to mention about your talents, skills, interests
I crochet
Working on vehicles
Yard work
Skilled driver- CDL
Anything else would you like to mention about your family medical history to the
adoptive parent
Chiari Malformation Type 1: donor child
Arthritis: donor, donor parent, donor grandparent
Donors past substance abuse was 20 years ago.
Psychogenic Nonepileptic spells or seizures (PNES)
Photos
PHOTOS
EMBRYO
How many embryos do you wish to donate
What are the grades of the embryos?
6
Unsure what this means
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
5-7 days
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 2 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's parent
Alzheimer
Anxiety
Donor, Donor child, Donor's parent
Donor, Donor's parent, Donor's grandparent
Asthma
Donor child
Autism
Bipolar disorder
Cancer
Donor's parent
Donor's grandparent
Celiac disease
Cystic fibrosis
Depression
Donor child, Donor's parent
Donor, Donor's parent
Diabetes
Epilepsy
Donor's parent
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent, Donor's grandparent
Donor's grandparent
Hemochromatosis
High blood pressure
Donor's parent, Donor's grandparent
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
Donor's parent
Donor, Donor's parent, Donor's grandparent
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor
Alzheimer
Anxiety
Donor, Donor child, Donor's parent
Asthma
Donor child
Autism
Bipolar disorder
Cancer
Donor's parent
Celiac disease
Cystic fibrosis
Depression
Donor child, Donor's parent
Diabetes
Epilepsy
Donor's parent
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent, Donor's grandparent
Hemochromatosis
High blood pressure
Donor's parent, Donor's grandparent
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Stroke
Substance abuse
Donor's parent
DONOR 2
allergy
Donor's parent
alzheimer
anxiety
Donor, Donor's parent, Donor's grandparent
asthma
autism
bipolar disoder
cancer
Donor's grandparent
celiac disease
cystic fibrosis
depression
Donor, Donor's parent
diabetes
epilepsy
fibromyalgia
fragile x syndrome
heart conditions
Donor's grandparent
hemochromatosis
high blood pressure
huntington's disease
lupus
marfan syndrome
multiple sclerosis
obesity
phenylketonuria
polycystic kidney disease
rheumatoid arthritis
schizophrenia
stroke
substance abuse
Donor, Donor's parent, Donor's grandparent
Information on egg/sperm donor
Letter
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