Recipient Application

Recipient Questionnaire
Please enter your email address. Must be valid email address
Please enter your first name.
Please enter your last name.
Please enter your phone number.
Please enter your city.
Please enter your state.
Please select your country.
Please enter your age. Please be accurate when inserting age
Please select your relationship status.
Please be accurate when inserting age
We have worked with over 150 Fertility Clinics across the country and can make a recommendation if you are looking at clinic options. Write N/A if you haven't selected one yet.
Please enter the fertility clinic name
Please enter the fertility clinic city.
Please enter the fertility clinic state.
Please enter the fertility doctor.
Check all that apply.
Please select your choice Please enter your surrogate agency
Check all that apply.
Please select your choice Please provide this detail
Do you have an Egg Donor Attorney? Most IVF clinics require a legal clearance letter from an attorney before they will do your egg donor cycle.
Please provide this detail.
Please select how did you learn about us. Please enter how did you learn about us.
What Donor fee are you able to afford? We have over 400 Donors ranging in fees from $3,500 to $10,000+. Repeat Donors with good success often have higher fees, though you may save money on screening costs. We provide Donor suggestions so they fit within your affordability range. (* We do have special programs for our lower income clients who qualify.) Check all that apply
Please select donor fees Please provide this detail
Would you like to know of potential Donors, who fit your characteristics, just prior to being entered into our Database? This may give you the opportunity to match with a Donor before others see her profile online. Donors with favorable characteristics often match the first day and develop a waiting list quickly. Donor alert emails will be sent to the email you listed above.
Please provide this detail.
Please agree to all the terms.
By submitting this form, you agree to the Fertility Bridges Terms of Use for using our online Egg Donor Database
Please agree to all the terms.
I agree to carefully follow the directions for logging in to the Egg Donor Database provided in my welcome email
Please agree to all the terms.
Please agree to all the terms.
It is best to start your egg donation search with at least 10 Egg Donor candidates in mind. Due to the busy schedules of many Donors, especially repeat Egg Donors, you may not be able to secure your first choice of Donor for the schedule you want. If timing is very important to you, and you don't want to wait 6 months for your 1st choice Donor to become available, then we recommend that you expand your horizons and think about matching with other lovely amazing Donors who are available.
Please agree to all the terms.
Fertility Bridges is a third party fertility consulting agency that can help you find an Egg Donor and coordinate your Egg Donor cycle with your fertility clinic. After you have selected an available Donor in our database and she completes her agency agreement for your match, we will then request a $3,000 cooridnation fee from you. An additional fee is due once your selected Donor is medically screened and cleared by your fertility clinic to proceed. The initial $3,000 fee covers our consulting time with you during your match selection process and one Egg Donor cycle coordination with a Donor in our program or in another program.
Please select the options
There are some fields that needs your attention. Please check all the fields before submitting the form.
Follow Us