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DONOR 1
Fullname
M_03052023_1
Country
United States
Address
Eye Color
Brown
Hair Color
Black
Height
5'2"
Ethnicity
Asian
Education
PhD/Post Doctoral
Hobbies
Being a leader of a group, Bicycling, Eating, Farming, Cooking, Camping, Gardening, Reading, Hiking, Photography, Listening to music, Playing sports, Singing, Visiting with friends, Taking care of people, 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
DONOR 2
Fullname
03052023_2
Country
United States
Address
Eye Color
Blue
Hair Color
Dark Brown
Height
5'10"
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Bicycling, Camping, Eating, Cooking, Hiking, Keeping pets, Playing an instrument, Visiting with friends, Using a computer, Watching TV or movies, Woodworking
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
M_03052023_1
03052023_2
Country
United States
United States
Address
Eye color
Brown
Blue
Hair color
Black
Dark Brown
Height
5'2"
5'10"
Ethnicity
Asian
White/Caucasian
Education
PhD/Post Doctoral
Bachelor’s degree
Hobbies
Being a leader of a group, Bicycling, Eating, Farming, Cooking, Camping, Gardening, Reading, Hiking, Photography, Listening to music, Playing sports, Singing, Visiting with friends, Taking care of people, Working out/exercising
Bicycling, Camping, Eating, Cooking, Hiking, Keeping pets, Playing an instrument, Visiting with friends, Using a computer, Watching TV or movies, Woodworking
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?
3
unknown
Have the embryos been genetically tested
No
Do you know the gender of the embryos
unknown
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 5 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
Donor, Donor child
Donor, Donor child, Donor's parent
Alzheimer
Donor's parent
Anxiety
Asthma
Donor
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor's parent
Diabetes
Donor's parent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent
Hemochromatosis
High blood pressure
Huntington’s disease
Lupus
Marfan syndrome
Multiple sclerosis
Obesity
Phenylketonuria
Polycystic kidney disease
Rheumatoid arthritis
Schizophrenia
Donor's grandparent
Stroke
Substance abuse
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor, Donor child
Alzheimer
Anxiety
Asthma
Autism
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Diabetes
Donor's parent
Epilepsy
Fibromyalgia
Fragile X syndrome
Heart conditions
Donor's parent
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
Donor, Donor child, Donor's parent
alzheimer
Donor's parent
anxiety
asthma
Donor
autism
bipolar disoder
cancer
celiac disease
cystic fibrosis
depression
Donor's parent
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
Donor's grandparent
stroke
substance abuse
Information on egg/sperm donor
Letter
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