We maintain records of all 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 alerts when medical issues arise.

This report concerns a pregnancy loss with TSBC samples. If you are unsure about a question, leave it blank. We guarantee complete confidentiality. No identifying information is released.

If you prefer to mail or fax the form, download a pdf version of the Pregnancy Loss Report, print it, and fax or mail it in. Or simply fill out the form below or call us at 510-841-1858 ext. 0.

Pregnancy loss is not widely discussed or even acknowledged, which can exacerbate the confusion and loss people often feel when it occurs. Please know that we are here to offer our support in any way we can, whether by phone or email. Here is a link to additional resources at your convenience.

Thank you for your time.