OHSU Center for Women's Health

Where Healing, Teaching and Discovery Come Together

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To Get Started

To learn more about becoming an egg donor and to find out if you qualify, please fill out and submit the following form.

We look forward to hearing from you!

Email^*
Name^*
Zip^*
Daytime phone^*
Date of birth^*
Height^*
Weight^*
Do you smoke?^*
Are you currently using a hormonal birth control method? (pills, patch, Mirena IUD, Nuvaring, etc.)^*
How often do you have your period (menstrual cycle)?^*
Are you able to obtain a detailed medical history from your biological family, including your biological parents, siblings, aunts, uncles, and grandparents?^*
What is the highest level of education that you have completed?^*

How did you hear about us?^*