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W_17092023_2

&

17092023_1

DONOR 1

Fullname

W_17092023_2

Country

United States

Address

Eye Color

Hazel

Hair Color

Black

Height

5 ft 7 in

Ethnicity

White/Caucasian

Education

Associates degree

Hobbies

Bicycling, Cooking, Eating, Going to church/temple, Listening to music, Photography, Using a computer, 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

Have a family history of stomach Ulcers.

Anything else would you like to mention about your talents,skills,interests 

DONOR 2

Fullname

17092023_1

Country

United States

Address

Eye Color

Hair Color

Black

Height

5’5

Ethnicity

Latino/Hispanic

Education

Graduate degree

Hobbies

Cooking, Gardening, Reading, Going to church/temple, Listening to music, Photography, Writing

Anything else would you like to mention about your family medical history to the
Adoptive parent

I like to craft and love to travel

Anything else would you like to mention about your talents,skills,interests 

BASIC INORMATION

Full name

W_17092023_2

17092023_1

Country

United States

United States

Address

Eye color

Hazel

Hair color

Black

Black

Height

5 ft 7 in

5’5

Ethnicity

White/Caucasian

Latino/Hispanic

Education

Associates degree

Graduate degree

Hobbies

Bicycling, Cooking, Eating, Going to church/temple, Listening to music, Photography, Using a computer, Visiting with friends, Watching TV or movies, Working out/exercising

Cooking, Gardening, Reading, Going to church/temple, Listening to music, Photography, Writing

Anything else would you like to mention about your talents, skills, interests

I like to craft and love to travel

Anything else would you like to mention about your family medical history to the
adoptive parent

Have a family history of stomach Ulcers.

Photos

PHOTOS

EMBRYO

How many embryos do you wish to donate

What are the grades of the embryos?

1

4AB

Have the embryos been genetically tested

NO

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

NO

5-7 Days

How long ago the embryos were created

Genetic mother’s age at the egg retrieval

Less than 20 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

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

Phenylketonuria

Polycystic kidney disease

Rheumatoid arthritis

Donor's grandparent

Schizophrenia

Stroke

Donor's grandparent

Substance abuse

Tay-Sachs disease

Medical Histroy

DONOR 1

Allergy

Donor

Alzheimer

Anxiety

Asthma

Autism

Bipolar disorder

Cancer

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

Substance abuse

DONOR 2

allergy

alzheimer

anxiety

asthma 

autism

bipolar disoder

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

phenylketonuria

polycystic kidney disease

rheumatoid arthritis

Donor's grandparent

schizophrenia

stroke

Donor's grandparent

substance abuse

Information on egg/sperm donor

Letter
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