Embryo Recipient Application

Introduction:

After you complete this application, we will review it and possibly contact you via email or phone for clarification. We will do our best to contact you within 10 business days after receiving all of your information regarding your acceptance status.


Embryo Recipient Application

Introduction:

After you complete this application, we will review it and possibly contact you via email or phone for clarification. We will do our best to contact you within 10 business days after receiving all of your information regarding your acceptance status.


If you have not already done so, please visit the Embryo Search section and review what donated embryos we currently have available. If you have registered on the site (upper right hand corner of the top of page), you will be able to keep your favorite embryo choices within your personalized folder. Through registration, we will also contact you via email when new embryos are posted on the site. There are a number of other advantages, so be sure to register!


We encourage you to become familiar with the information provided in the Downloads section (link directly to embryo recipient section and not just the webpage please). The most important documents in this section are the first two called the "Embryo Donation Recipient General Information, EDI" and the "Frozen Donor Embryo Transfer Price List, EDI". This website and the EDI's blog also contain a wealth of additional information, so enjoy.


Once you are accepted as an embryo recipient and you have found embryos that meet your requirements, you will need to do the following:


  1. Place the embryos on reserve with the non-refundable Case Management Fee.
  2. Once the embryos are reserved, you will then have six weeks to become an established patient with EDI (in person, via phone interview or Skype) and you will have another four months after that to have the embryos transferred.

Please complete the following application carefully and completely so that there will be no delays in confirming your acceptance as an embryo recipient here at Embryo Donation International.


Embryo Recipient Options

Please select one or more of the following recipient options. Please be sure you understand the options before making your choice. If you would like more information on the different options, please click here.


Embryo Donation International does not discriminate against those who provide or receive donated embryos with respect to race, religion, ancestry, sexual preference or marital status.



This is the most common form of embryo donation. It is perfect the the donors who are wanting to provide a wonderful gift while desiring closure in donating their embryos. It is ideal for the embryo recipient who wants the least expensive option in receiving embryos. The decision to accept the embryo recipient into the program is the responsibility of EDI's clinicians, who have over a quarter century of combined experience in the infertility field. EDI is strongly committed to help match healthy cryopreserved embryos with healthy embryo recipients.

This is the second most common form of embryo donation. It is ideal for the donors who want additional information about the recipients. It is ideal for the recipients that are willing to participate in the MHP interview process. EDI still ultimately decides which embryo recipients are emotionally and physically ready to accept donated embryos gathering on their vast experience in the field of embryo donation.

This is the least common form of embryo donation. It requires a greater level of participation for both donors and recipients. Donors and recipients will interact with each other, undergo Mental Health Professional counseling, have blood work drawn and have separate legal representation.

Identity Disclosure Program Option:

From the perspective of a donor-conceived offspring, you can imagine that they would be curious about the embryo donors and may also want to connect with any existing genetic siblings. EDI now offers you, the embryo recipients, the option for you or your donor-conceived offspring to contact the embryo donors and receive their identifying information called the Identity Disclosure Program (IDP).

It is strongly recommended that you click here and review these options in detail. The IDP is agreed to by the donors and accepted by you, the recipients.

If you agree to accept donated embryos that also have the IDP, the following will take place:

  1. The embryo donors decide at what age the donor-conceived offspring must reach before contact is allowed.
  2. Embryo donors will also decide how the first contact will take place (i.e., phone, email, text, video conference, in person or other methods of communication).
  3. Embryo donors will not be able to change their minds regarding the IDP. By signing the consents, they commit to at least one contact with the donor-conceived offspring and that their identity will eventually be disclosed.
  4. You are not required to disclose to the donor-conceived offspring their genetic origins. If you do disclose, it will be up to you to decide to disclose the fact that contact with the donors is also possible. Accepting IDP donated embryos doesn’t mandate that you must disclose.
  5. Identifying information about the donors will be released to you if they do not contact you when they are requested to do so according to the previously signed agreements.
  6. By default, the donor-conceived adult will have access to identifying information when they reach 18, regardless if contact did or did not take place in the past.


If you need help to work though the decision to accept IDP donated embryos, a skilled Mental Health Professional (MHP) will be found to assist you. In addition, when it comes time to possibly disclose to the donor-conceived offspring their genetic origins and that contact is available, an MHP will be found to assist you and your family upon request.



Partner Status/Sexual Orientation:

Please indicate your current partner status and sexual orientation. Please only choose one.


Race:

Please select any of the races below that describe you and your partner (when one exists) understanding that both donors and recipients may be a mixture of races. Please check all of those that apply if you and/or your partner have at least 50% of a listed race in your background.



Race : Partner

Please select any of the races below that describe you and your partner (when one exists) understanding that both donors and recipients may be a mixture of races. Please check all of those that apply if you and/or your partner have at least 50% of a listed race in your background.



Religion:

You may have a predominant religion in the home which is the religion the embryo donor-conceived child will most likely be raised in. Please indicate what is the predominant religion in your home and choose only one.



Education Level:

Please indicate the highest level of education you achieved. Choose only one.




Contact Information

Embryo Recipient

 
It is OK to use this to contact me

Embryo Recipient General Information

"TODO: Calculation"
"TODO: Calcuation"

Embryo Recipient Partner General Information

"TODO: Calculation"

Ethnic Background

The staff at EDI can sometimes guide you towards embryos with specific ethnic backgrounds based on the information you provide here. Most recipients are not fully aware of their ethnic background, so do the best that you can.

Example: 50% English, 25% Irish, 25% Scottish - please note that the percents must = %100


Infertility Narrative (See Instructions Below)


By clicking “yes” below, you will allow us to post the country in which you live in, (if in the US, the general region in which you live), the type of embryo donation procedure you have agreed to (Anonymous, Approved and/or Open Embryo Donation) and this infertility narrative to a webpage for review by potential donors. It is our hope that patients who are uncertain about donating their embryos may feel more confident about doing so after reading your story. Other information in this application will not be posted. Understanding that we want this to be your story, we would suggest the following:

  • Write the story as though you are speaking to the potential embryo donor.
  • Be specific, but not so detailed that one of your friends or family could figure out the story was yours. Please use only your first names or an alias within the story to personalize it.
  • Providing your areas of employment without being too specific can help paint a picture of who you are and the home in which you will raise a child. We suggest you use general terms such as “healthcare, finance, manufacturing, etc.” or other terms to further protect your privacy.
  • If your eduction, hobbies, unusual traits or gifts are important to you and you believe the potential donor would like to know these, please also comment on these.
  • Feel free to cover such areas as your motivations, partnership/marriage when appropriate, your religion if it is important to you, your hopes and dreams of conceiving, delivering and raising a child.
  • Explain what you have gone through thus far to have a child. If you do not have a substantial infertility history, emphasize the reasons for wanting to receive donated embryos.
  • Consider thanking embryo donors for making embryo donation possible.
  • Remember to write from the heart hoping to encourage potential embryo donors to donate their embryos.
  • Try to keep your story within 750 words or less. Certainly use more if you need to understanding that long stories are less likely to be read to completion. Extraordinary short stories, however, may appear incomplete.


If you agree, your story here may be featured on our various social media sites, newsletter, website and other public relation materials. EDI reserves the right to edit the stories with respect to grammar and spelling but will not significantly change the content. Not all stories submitted will necessarily be used.

If I/we do not feel comfortable with posting our story, we may keep this section blank (i.e., Only complete the narrative if you are willing to post).

You are not to feel compelled to agree for EDI to use your story. If you choose to not allow EDI to post your story, your ranking to receiving embryos as well as your medical care here at EDI will not be changed in any way.


Gynecologic History/Infertility Evaluation


Obstetrical History/Children in the Home:


Completion of Application

Typed Name(s) Below Will Act as Signature(s)