CREATE YOUR EGG DONOR PROFILE

Cori's will be an advocate throughout the Egg Donor process, we will provide egg donors with the best access to egg donor information, legal guidance and care management available to help ensure a smooth and positive experience. There are several requirements potential egg donors must meet in order to qualify for the task. Please review the following carefully in order to decide whether you meet the criteria for becoming an egg donor. -Must be between 21-30 years of age -Have regular periods -No reproductive disorders or abnormalities -Physically and emotionally healthy -BMI under 29 -Non-smoker, non-drug user -Willing to undergo medical and psychological evaluation -Willing to take injectable medications -Willing to commit to the process for a minimum of 6 months

If you meet these criteria and feel comfortable having researched the egg donation process, please proceed to answer the following seven questions: 1. I am at least 21 years of age. Yes 2. I am interested in donating my eggs. Yes 3.I am aware of the medical and psychological risks associated with egg donation. Yes 4. I understand that Cori's Egg Donor Services will display my profile (without my last name) and any photographs submitted by me on their website and in any other medium they determine appropriate. Yes 5. I understand that Cori's Egg Donor Services, potential Recipient Couples and other professionals will rely upon the information contained in my Application and I agree to answer each question completely and truthfully. Yes 6. I understand that Cori's Egg Donor Services does not and will not provide information or advice on the legal, medical, genetic or psychological risks of egg donation. I understand that I am solely responsibile to obtain professional advice on the risks involved in the egg donation process. Yes 7. I agree to release Cori's Egg Donor Services and hold it harmless from any and all responsibility or liability with respect to any and all risks associated with the legal, medical, genetic, and/or psychological aspects of the egg donation process. Yes
First Name
Last Initial
What state do you live in?
Your Donor Fee	If you do not have a set fee, please leave zero "0". Otherwise enter numbers only. DO NOT put $ sign in front of your figure.
Telephone
Email
Upload Photo	In order to become an active egg donor, a photo of yourself is required. However, if you do not have a photo available to upload at this time, leave this field blank, and you can submit one later.
Age
Date of Birth	Please provide your full birthdate Month/Day/Year
US Citizen	Yes | No
Sexual Orientation
Health Insurance	Yes | No