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.

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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.