{"id":2385,"date":"2019-09-06T12:43:30","date_gmt":"2019-09-06T12:43:30","guid":{"rendered":"https:\/\/fairfaxcryobank.com\/?page_id=2385"},"modified":"2022-12-07T13:40:15","modified_gmt":"2022-12-07T18:40:15","slug":"pregnancy-report-form","status":"publish","type":"page","link":"https:\/\/fairfaxcryobank.com\/ca\/pregnancy-report-form","title":{"rendered":"Pregnancy Report Form"},"content":{"rendered":"\n

Congratulations!<\/strong> <\/h2>\n\n\n\n

We appreciate you reporting your pregnancy to Fairfax Cryobank!<\/strong> <\/h3>\n\n\n\n
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Thank you for taking the time to complete this form to report your pregnancy using a Fairfax Cryobank donor. This helps us keep our records up-to-date for future Fairfax Families. <\/p>\n

Please do not report a pregnancy with this online form between 11pm and 2 am EST, as our system is updated during that time.<\/em><\/p>\n

If you used an ID donor, you will also need to complete the ID Birth Registration form to allow your child to have the option to obtain donor information on or after their 18th birthday. For a pregnancy by an ID donor, we encourage you to fill out the form below but it will not be a substitute for completing the registration paperwork after birth. You can always call Client Services at 800-338-8407 to assist you.<\/p>\n

See our Policy on Limiting Donor Births<\/a> to see when donors are stopped.<\/p>\n

* Indicates required field<\/em><\/p>\n

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\n\t\t\t
\n\t\t\t\t* Distributor\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t* Patient name\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\t* Donor No. \n\t\t\t<\/div>\n\t\t\t
\n\t\t\t\tPreparation Type\n\t\t\t\t