We will be closed November 24th and 25th in observance of Thanksgiving. Please be advised our shipping will be closed on Wednesday November 23rd.

Please be advised, masks are required when visiting our facility. Thank you!

Report the Outcome of Your Pregnancy

  • Phone:   510.841.1858
  • Fax:        510.841.0332
  • Email:    click here

We maintain complete records of pregnancy outcomes that include not only births, but also miscarriages, stillbirths, and therapeutic abortions. This helps us maintain a donor's family limit, track health and medical information for donors, recipients, and children, and provide ongoing services to families after children are born, including follow-up when medical issues arise. 

This report concerns your most recent pregnancy with TSBC samples. If you are unsure about a question or prefer not to answer, just leave it blank or enter 'unsure' / 'withheld' and a Healthworker will follow-up with you. We guarantee complete confidentiality. No identifying information will be released. If you prefer to mail or fax the form, click here for a pdf version or simply fill out the form below, print it, and fax or mail it in. Thank you for your time. If your pregnancy resulted in a loss please click here for a pdf version which you can print out, fax, or email to us.

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Report the Outcome of Your Pregnancy

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Pregnancy Outcome:
Live birth
Pregnancy loss
Additional Questions
Delivery issues
Section 4
Child #1
Weight
Length
Child #2
Weight
Length
Child #3
Weight
Length
Section 5

- Buy ASAP to guarantee availability. See our catalog of sibling inventory or call us directly to inquire.

- Planning to donate embryos? Please contact us to check donor family limit and add receiving family to follow-up when medical issues arise.