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 for a Pregnancy and/or Stored Embryos

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

We maintain complete records of pregnancies and outcomes, that include not only births, but also miscarriages, stillbirths, and therapeutic abortions. We also track when embryos are stored, with or without a pregnancy. 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.

This report concerns your most recent pregnancy and/or creation of embryos 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 is 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.


Report: Pregnancy and/or Embryos Stored

Contact information
Please give us the details for this conception cycle. Do not include details from previous insemination cycles that did not result in pregnancy.
Please give us the details of the insemination for THIS conception cycle only. Do not include previous cycle attempts that did not result in pregnancy.
An "insemination" is an attempt made to conceive during your fertile "cycle." More than one insemination can be done in one cycle.
This question helps us determine how many vials of a particular donor to save. The only way to guarantee availability however is to purchase vials that you plan to use in the future.