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M_20062023_2

&

20062023_1

DONOR 1

Fullname

M_20062023_2

Country

United States

Address

Eye Color

Hazel

Hair Color

Dark Brown

Height

5' 9"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Cooking, Going to church/temple, Playing an instrument, Hiking, Listening to music, Singing

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

20062023_1

Country

United States

Address

Eye Color

Hazel

Hair Color

Light Brown

Height

5' 4"

Ethnicity

White/Caucasian

Education

Bachelor’s degree

Hobbies

Beauty and hair care, Going to church/temple, Listening to music, Working out/exercising, Visiting with friends, Being a leader of a group

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_20062023_2

20062023_1

Country

United States

United States

Address

Eye color

Hazel

Hazel

Hair color

Dark Brown

Light Brown

Height

5' 9"

5' 4"

Ethnicity

White/Caucasian

White/Caucasian

Education

Bachelor’s degree

Bachelor’s degree

Hobbies

Cooking, Going to church/temple, Playing an instrument, Hiking, Listening to music, Singing

Beauty and hair care, Going to church/temple, Listening to music, Working out/exercising, Visiting with friends, Being a leader of a group

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

A

Have the embryos been genetically tested

Yes

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

Not sure

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 10 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 child

Donor

Alzheimer

Anxiety

Donor child

Donor, Donor child

Asthma

Autism

Bipolar disorder

Donor child

Cancer

Donor's grandparent

Celiac disease

Cystic fibrosis

Depression

Donor child

Diabetes

Donor's grandparent

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

Stroke

Donor's grandparent

Substance abuse

Donor child

Donor's grandparent

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor, Donor child

Alzheimer

Anxiety

Donor child

Asthma

Autism

Bipolar disorder

Donor child

Cancer

Celiac disease

Cystic fibrosis

Depression

Donor child

Diabetes

Donor's grandparent

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

Stroke

Substance abuse

Donor child

DONOR 2

allergy

Donor

alzheimer

anxiety

Donor, Donor child

asthma 

autism

bipolar disoder

cancer

Donor's grandparent

celiac disease

cystic fibrosis

depression

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

stroke

Donor's grandparent

substance abuse

Donor's grandparent

Information on egg/sperm donor

Letter
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