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31072024_1

&

31072024_2

DONOR 1

Fullname

31072024_1

Country

United States

Address

Eye Color

Blue

Hair Color

Dark Brown

Height

5’7 3/4

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Being a leader of a group, Belonging to a club, Camping, Keeping pets, Listening to music, Playing sports, Playing video games, Taking care of people, Taking care of animals, Using a computer, Visiting with friends, Watching TV or movies

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

31072024_2

Country

United States

Address

5 Stonewall Cir

Eye Color

Hazel

Hair Color

Dark Brown

Height

5'10

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Being a leader of a group, Bicycling, Camping, Cooking, Fishing, Gardening, Reading, Listening to music, Playing video games, Visiting with friends, Using a computer, Taking care of people, Watching TV or movies, Writing

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

31072024_1

31072024_2

Country

United States

United States

Address

5 Stonewall Cir

Eye color

Blue

Hazel

Hair color

Dark Brown

Dark Brown

Height

5’7 3/4

5'10

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Bachelor’s degree

Hobbies

Being a leader of a group, Belonging to a club, Camping, Keeping pets, Listening to music, Playing sports, Playing video games, Taking care of people, Taking care of animals, Using a computer, Visiting with friends, Watching TV or movies

Being a leader of a group, Bicycling, Camping, Cooking, Fishing, Gardening, Reading, Listening to music, Playing video games, Visiting with friends, Using a computer, Taking care of people, Watching TV or movies, Writing

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?

Have the embryos been genetically tested

Yes

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 (2 children)

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Have the embryos from this batch been already donated to another adoptive parent

No

Embryo

MEDICAL HISTORY

DONOR 1

DONOR 2

Allergy

Donor

Alzheimer

Donor's parent

Donor's grandparent

Anxiety

Donor

Asthma

Autism

Donor child

Donor child

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Donor

Diabetes

Epilepsy

Donor child

Donor child

Fibromyalgia

Donor

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor, 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

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor

Alzheimer

Donor's parent

Anxiety

Donor

Asthma

Autism

Donor child

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Donor

Diabetes

Epilepsy

Donor child

Fibromyalgia

Donor

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 2

allergy

alzheimer

Donor's grandparent

anxiety

asthma 

autism

Donor child

bipolar disoder

cancer

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

Donor child

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

Donor, 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

Information on egg/sperm donor

Letter
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