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Jennifer Heim_Egg donor

&

Heim_Sperm donor

DONOR 1

Fullname

Jennifer Heim_Egg donor

Country

United States

Address

181 Fairview St. West Greenfield, Ma. 01301

Eye Color

Blue

Hair Color

Light Brown

Height

5ft. 5in.

Ethnicity

White/Caucasian

Education

Bachelor's degree

Hobbies

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

Heim_Sperm donor

Country

USA

Address

Eye Color

Green/Brown

Hair Color

Light brown

Height

6'1

Ethnicity

White-Caucasian

Education

Bachelor's degree

Hobbies

Bicycling, Hiking, Playing sports, 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 

BASIC INORMATION

Full name

Jennifer Heim_Egg donor

Heim_Sperm donor

Country

United States

USA

Address

181 Fairview St. West Greenfield, Ma. 01301

Eye color

Blue

Green/Brown

Hair color

Light Brown

Light brown

Height

5ft. 5in.

6'1

Ethnicity

White/Caucasian

White-Caucasian

Education

Bachelor's degree

Bachelor's degree

Hobbies

Bicycling, Hiking, Playing sports, Working out/exercising

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

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

Not sure

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 10 years ago

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

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's grandparent

Donor's grandparent

Hemochromatosis

High blood pressure

Donor's grandparent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Donor's grandparent

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Donor's grandparent

Schizophrenia

Stroke

Substance abuse

Donor's grandparent

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Donor's grandparent

Hemochromatosis

High blood pressure

Donor's grandparent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Donor's grandparent

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

Donor's grandparent

celiac disease

cystic fibrosis

depression

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

Donor's grandparent

schizophrenia

stroke

substance abuse

Donor's grandparent

Information on egg/sperm donor

Letter

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