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M_11082023_1

&

11082023_2

DONOR 1

Fullname

M_11082023_1

Country

USA

Address

Eye Color

Hazel

Hair Color

Red/Auburn

Height

5'4

Ethnicity

White/Caucasian

Education

Graduate degree

Hobbies

Bicycling, Hiking, Listening to music, Playing sports, Visiting with friends, Watching TV or movies, 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

11082023_2

Country

USA

Address

Eye Color

Blue

Hair Color

Light Brown

Height

6'0

Ethnicity

White/Caucasian

Education

Associates degree

Hobbies

Hiking, Keeping pets, Listening to music, Playing sports, Playing video games, Singing, Visiting with friends, Watching TV or movies, 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

M_11082023_1

11082023_2

Country

USA

USA

Address

Eye color

Hazel

Blue

Hair color

Red/Auburn

Light Brown

Height

5'4

6'0

Ethnicity

White/Caucasian

White/Caucasian

Education

Graduate degree

Associates degree

Hobbies

Bicycling, Hiking, Listening to music, Playing sports, Visiting with friends, Watching TV or movies, Working out/exercising

Hiking, Keeping pets, Listening to music, Playing sports, Playing video games, Singing, Visiting with friends, Watching TV or movies, 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?

1

Have the embryos been genetically tested

Yes

Do you know the gender of the embryos

Female

Have the embryos from this batch resulted in a life birth

Age of embryos when they were frozen

No

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 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's parent

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

Donor's grandparent

Donor, Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Diabetes

Donor's grandparent

Epilepsy

Fibromyalgia

Fragile X syndrome

Heart conditions

Hemochromatosis

High blood pressure

Donor, Donor's parent, Donor's grandparent

Donor's parent

Huntington’s disease

Lupus

Marfan syndrome

Multiple sclerosis

Obesity

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Donor's grandparent

Schizophrenia

Stroke

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor's parent

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

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

Donor's grandparent

Schizophrenia

Stroke

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

bipolar disoder

cancer

Donor, Donor's grandparent

celiac disease

cystic fibrosis

depression

diabetes

epilepsy

fibromyalgia

fragile x syndrome

heart conditions

hemochromatosis

high blood pressure

Donor's parent

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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