Become an Egg Donor

Due to the generosity and compassion of women like you, many couples encountering fertility challenges will be able to experience the joy of parenthood. We are thankful for your interest in our program. Prior to completing the physical process of donating eggs, potential donors must first become eligible to donate. Egg donors are compensated for their time and effort.

To begin the process, please fill out this eligibility questionnaire below. After you complete this form, you will be contacted by a donor program team member and provided with a login for our Donor Portal.

NOTE: You will be immediately disqualified if you don’t meet these requirements: you must be between the ages of 20 and 32, be a US Citizen or have a Social Security number.

We are here to help make this experience as easy as possible so don’t hesitate to contact us. You can call us toll free 1.855.CNY.EGGS or contact us via email at donor@cnyfertility.com.

Read our Egg Donor Blog that was featured in The AFA (The American Fertility Association) Directory in 2012. It gives a realistic view of the egg donation journey from beginning to end as told by one of our very own egg donor’s.

 

Become an Egg Donor: Start Here!

Please complete this form

First Name (required)

Street (required)

State (required)

Phone # (required)

Last Name (required)

City (required)

Zip (required)

Your Email (required)

Are you a US citizen? (required)

 Yes No

If not a US citizen, do you have a Social Security Number?

Date of birth (MM/DD/YY) (required)

Your Height in Inches (required)

Your weight in Pounds (required)

Your BMI

*If BMI calculator is not in range of 20-30, you are not qualified to become an egg donor

How did you hear about us? (required)

Have you donated eggs or applied to be a donor before?

 Yes No

Have you lived or travelled to Europe for more than 3 months since 1980? (if yes, where and how?)

 Yes No

If yes, please list the country, year and the amount of time spent there.

Do you smoke cigarettes?

 Yes No

What kind of birth control method are you CURRENTLY using? (required)

If your current birth control is the Mirena or Implanon IUD, are you willing to have it removed?

 Yes No

As an egg donor, I understand I must take self-administered injections for approximately 21 days.

 Yes No

As and egg donor, I understand I will be required to attend approximately 10-12 appointments and will have a number of blood draws and vaginal ultrasounds.

 Yes No

As an egg donor, I understand I will undergo egg retrieval under IV sedation.

 Yes No

As an egg donor, I understand I must commit to being enrolled in CNY Fertility Center’s program a minimum of 4-6 months and will immediately inform the center if I am no longer available to participate.

 Yes No

As an egg donor, I understand the process is an extremely serious matter and the recipient is depending on my trust, honesty, maturity and commitment to comply with all instructions.

 Yes No

As an egg donor, I understand that I relinquish all rights and decision making authority for the eggs and any embryos created as a result of my donation.

 Yes No

As an egg donor, are you will to travel to Albany/Syracuse for egg retrieval?

 Yes No

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