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DONOR 1
Fullname
16082023_1
Country
USA
Address
Eye Color
Blue
Hair Color
Dark Brown
Height
5'5
Ethnicity
White/Caucasian
Education
Graduate degree
Hobbies
Being a leader of a group, Bicycling, Reading, Horseback riding, Photography, Sewing/knitting, Taking care of people, Visiting with friends, Cooking
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
16082023_2
Country
United States of America
Address
Eye Color
Green
Hair Color
Light Brown
Height
6'3
Ethnicity
Education
Associates degree
Hobbies
Cooking, Bicycling, Camping, Hunting, Listening to music, Working out/exercising, Using a computer, Visiting with friends, Playing sports, Woodworking, Going to church/temple
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
16082023_1
16082023_2
Country
USA
United States of America
Address
Eye color
Blue
Green
Hair color
Dark Brown
Light Brown
Height
5'5
6'3
Ethnicity
White/Caucasian
Education
Graduate degree
Associates degree
Hobbies
Being a leader of a group, Bicycling, Reading, Horseback riding, Photography, Sewing/knitting, Taking care of people, Visiting with friends, Cooking
Cooking, Bicycling, Camping, Hunting, Listening to music, Working out/exercising, Using a computer, Visiting with friends, Playing sports, Woodworking, Going to church/temple
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
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
Yes
Not sure
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Less than 2 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 child
Donor child
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
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor child
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
Donor child
alzheimer
anxiety
asthma
autism
bipolar disoder
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
Information on egg/sperm donor
Letter
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