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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