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DONOR 1
Fullname
31072024_1
Country
United States
Address
Eye Color
Blue
Hair Color
Dark Brown
Height
5’7 3/4
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Being a leader of a group, Belonging to a club, Camping, Keeping pets, Listening to music, Playing sports, Playing video games, Taking care of people, Taking care of animals, Using a computer, Visiting with friends, Watching TV or movies
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
31072024_2
Country
United States
Address
5 Stonewall Cir
Eye Color
Hazel
Hair Color
Dark Brown
Height
5'10
Ethnicity
White/Caucasian
Education
Bachelor’s degree
Hobbies
Being a leader of a group, Bicycling, Camping, Cooking, Fishing, Gardening, Reading, Listening to music, Playing video games, Visiting with friends, Using a computer, Taking care of people, Watching TV or movies, Writing
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
31072024_1
31072024_2
Country
United States
United States
Address
5 Stonewall Cir
Eye color
Blue
Hazel
Hair color
Dark Brown
Dark Brown
Height
5’7 3/4
5'10
Ethnicity
White/Caucasian
White/Caucasian
Education
Bachelor’s degree
Bachelor’s degree
Hobbies
Being a leader of a group, Belonging to a club, Camping, Keeping pets, Listening to music, Playing sports, Playing video games, Taking care of people, Taking care of animals, Using a computer, Visiting with friends, Watching TV or movies
Being a leader of a group, Bicycling, Camping, Cooking, Fishing, Gardening, Reading, Listening to music, Playing video games, Visiting with friends, Using a computer, Taking care of people, Watching TV or movies, Writing
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?
Have the embryos been genetically tested
Do you know the gender of the embryos
Have the embryos from this batch resulted in a life birth
Age of embryos when they were frozen
How long ago the embryos were created
Genetic mother’s age at the egg retrieval
Have the embryos from this batch been already donated to another adoptive parent
Embryo
MEDICAL HISTORY
DONOR 1
DONOR 2
Allergy
Donor
Alzheimer
Donor's parent
Donor's grandparent
Anxiety
Donor
Asthma
Autism
Donor child
Donor child
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor
Diabetes
Epilepsy
Donor child
Donor child
Fibromyalgia
Donor
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
Schizophrenia
Stroke
Substance abuse
Tay-Sachs disease
Medical Histroy
DONOR 1
Allergy
Donor
Alzheimer
Donor's parent
Anxiety
Donor
Asthma
Autism
Donor child
Bipolar disorder
Cancer
Celiac disease
Cystic fibrosis
Depression
Donor
Diabetes
Epilepsy
Donor child
Fibromyalgia
Donor
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
Donor's grandparent
anxiety
asthma
autism
Donor child
bipolar disoder
cancer
celiac disease
cystic fibrosis
depression
diabetes
epilepsy
Donor child
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
schizophrenia
stroke
substance abuse
Information on egg/sperm donor
Letter
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