Donor Recipient Questionaire

Egg Donor Recipient Request Form

Accessing our donor profiles

Since we have approximately 25 photos of each donor and also have photos of their siblings and parents, due to privacy issues, we do not have them on the Internet. The donor photos and profiles are on a private computer database. We prescreen each donor before they are available to donate and considered an active donor. Each potential donor meets with a member of our staff for an interview. They will see a psychologist and have a physical examination with a pelvic ultrasound by a Reproductive Endocrinologist. They will also undergo infectious disease screening and genetic testing. We feel it is best to remove any foreseeable obstacle before the donor is chosen by a couple. Our goal is to make this a positive experience for everyone involved. Compared to other agencies, we pride ourselves in taking a one-on-one approach with our clients and they seem to appreciate this. Please take a look at our Sample Donor Profile to see the depth of information we have available on each pre-screened donor.

If you live local to Orange County, California, we are available to see couples on weekends and in the evening. Please call 949-494-6511 to schedule an appointment.

If you would prefer to communicate via email, please read the following paragraph.

If you live outside the Orange County, California area, arrangements can be made to email profiles to you. After receiving a list of the characteristics you are looking for in a donor (see Recipient Questionnaire Form below) and emailing us a photo of yourself, the program director will email basic information and two photos of each donor meeting your requirements for you to review at no charge. If after reviewing the profiles you wish to see additional information on any of the donors, we do ask that you make a commitment to work with the agency by paying a retainer fee. This will give you access to all of the medical background, family background, psychological evaluation, multiple photos of the donor along with their siblings and parents, and a written in-depth profile in the donor's handwriting.

Please keep in mind that all of our donors are from the Southern California area and would require expenses to be paid for their travel and the travel expenses for a companion if they wish.

Please give us an idea of the characteristics that are most important to you in an egg donor by filling out the form below. This information is entered into the computer database and all donor profiles meeting these requirements with be emailed to you along with a couple of photos. Please feel free to call or email us if you have any questions about the process.

Recipient Questionaire

Name:
Address:
City:	State:
Zip Code:	Country:
E-mail:
Phone:
Name of your physician :
How did you hear about us?

Characteristics you are looking for in a donor :

Donor Characteristic	First Choice	Second Choice
Hair color
Eye color
Height range	from to
Ethnic background		If other, please explain
Religion (if important)
Talents
Is your ideal donor a mother?	Yes No Does not matter
Do you prefer a donor who has donated before?	Yes No Does not matter
Would you like to meet the donor before you decide to work with her?	Yes No
Which is more important to you?	Attractiveness Intelligence Athletic
What is your desired transfer date, if any?
Will you require that the donor travels to your doctor for the egg retrieval?	Yes No
Would you be willing to travel to Southern California for the cycle?	Yes No
Additional requests or comments:

Confidentiality is of utmost importance.
All messages and mail are kept discreet.