We will be closed Monday July 5, 2021 for Independence Day. Thank you.
Learn more about our services and COVID-19 under New and Upcoming Events
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.