I understand that I will be required to provide a copy of my driver’s license during the application process in order to confirm my identity.
I agree to a criminal background screening by Heartfelt Egg Donation, if required.
I understand that I am required to complete Medical and Psychological Screening once matched and contracted with prospective parents.
I understand that I will be required to perform self-injections of fertility medications for approximately 2 – 3 weeks.
I understand that I may be required to travel for 1-2 days for a medical evaluation and approximately 5 – 10 days for the egg retrieval procedure if selected and contracted with Prospective Parents whose physician is out of the area. All travel is within the United States.
I understand that I will be required to undergo a medical procedure under sedation to remove my eggs from my ovaries.
I understand that Heartfelt Egg Donation, LLC does not guarantee or promise that I will be matched with Prospective Parents or promise any time frame in which this selection will occur. I understand and acknowledge that there is a possibility that I may never be selected as an Egg Donor.
I understand that Heartfelt Egg Donation will not provide legal, medical, psychological or genetic advice.
I understand that Heartfelt Egg Donation, LLC has the right to deny my application without explanation.
I understand that the information provided in this Pre-screening application will become part of my full Egg Donor Profile upon acceptance.
I understand that it is my responsibility to advise Heartfelt Egg Donation, LLC of any schedule changes which would prevent me from fulfilling my responsibilities as an egg donor through their program.
I understand that it is my responsibility to advise Heartfelt Egg Donation, LLC of any updates to my egg donor profile (student and/or work status, medical/health updates for myself and family members, etc.).
I understand that it is my responsibility to advise Heartfelt Egg Donation, LLC of any address, telephone or email changes.
I understand it is my responsibility to advise Heartfelt Egg Donation, LLC if I become listed with any other egg donation agency or fertility clinic program and that it is not in the best interests of Heartfelt Egg Donation or myself to be listed with multiple programs.
I voluntarily consent to participate as an egg donor in the Heartfelt Egg Donation Program.