EGG DONOR INFORMATION

PACKET

Prospective Parents, Thank you for your interest in using a donor from The Donor Solution to start or expand your family. We pride ourselves on being the premier donor agency of the Southwest by providing our Intended Parents and Donors with the most personalized services and a commitment to excellence. Our goal is to assist you in finding that missing piece of the puzzle to make your dreams of a family complete. The Donor Solution donor database is available through our website. Visit our website at www.donorsolution.com to learn more about our company, the egg donation process and to fill out a short online application for a password. We will enable your password and you can start searching for a donor right away! We have attached information about the process, Fee Schedules (also found on the website) as well as Agency Agreements, and information about the Egg Donor process. Please call or email us with your questions about utilizing a donor from The Donor Solution for your upcoming donor cycle. We look forward to working with you to find the donor that can help you build your dream family. Mary Fusillo, RN, BSN, MS Executive Director The Donor Solution

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Intended Parent Timeline Checklist

Visit www.thedonorsolution.com to get started and learn about our program

Register for Donor Database access by clicking “Find a Donor”

Receive approval email with link and password to access Donor Database

Find a few donors you are interested in and send donor numbers to TDS staff to confirm availability and pricing

Decide on your donor and fill out Recipient Info Sheet

Sign Fee Schedule and submit 1st installment payment to reserve your egg donor and start your cycle. If travel cycle then submit donor travel deposit as well

Let your clinic know you have selected a donor with TDS and are starting the process

Complete any necessary testing at your clinic

Receive cycle calendar from your clinic

Sign Agency Agreement, with notary, and submit to TDS staff at least 7 days prior to donor stimulation start

Remit 2nd installment payment at least 7 days prior to donor stimulation start. TDS staff will send you notice and invoice for this payment once calendar is received from your clinic

Donor has retrieval!

If a travel cycle, travel breakdown will be sent you within 30 business days of retrieval along with refund or invoice for any remaining balances.

Send baby pictures to us!

The Donor Solution | 713.827.0301 | thedonorsolution.com

!Fee Schedule - Family Solutions Program

Recipient Name: Clinic:

CYCLE FEES

Reservation Fee $ 400 • Reserves donor for two weeks

1st Installment $ 1,600 • Due before donor is screened at clinic

Travel Deposit ($2,000) $ • Due with 1st installment payment if travel donor • Used towards donor travel costs for cycle and will be refunded/charged

remaining balance post retrieval

2nd Installment • Final balance, due after donor passes screening at clinic

Agency fee $ 3,150 • Donor recruitment, pre-screening of donor, fertility test with AMh

background check, transcript check, donor management, travel coordination, and donor gift post retrieval Donor Legal $ 400

Donor Cycle Insurance $ 360 • Unless purchased by the clinic

Psychological Evaluation / Testing with PhD Level Psychologist $ 400 • Waived if performed by clinic or in-house clinic psychologist

Donor Compensation $ 5,500-10,000

Optional/Additional Cycle Fees: Donor Travel bonus ($500 in state/$1000 out of state) $ Directed agreement between donor and Intended Parents ($50) $ if desired

2nd Installment Total $

TOTAL $ Donor Number Selected ____ Donor Compensation _________________ Initials __________

If the donor does not pass the Initial Screening (medical/genetic/psychological), I may roll over my deposit onto a new donor for no additional fees. If screening of the donor has been performed on the direction/orders of the clinic, I will be charged for that screening. Reservation fee and 1st installment are not refundable. A convenience fee of 3% is added to all transactions when utilizing credit cards.

____________________________________________________________________________ Donor Recipient Signature Date

____________________________________________________________________________ Donor Recipient Spouse/Partner Signature Date

____________________________________________________________________________ The Donor Solution Representative Signature Date 4265 San Felipe, Suite 1100 Houston. TX 77027 713.827.0301 (o) 887.518.4803 (f) CONFIDENTIAL INFORMATION

!Fee Schedule - Family Connections Program

Recipient Name: Clinic:

CYCLE FEES

Reservation Fee $ 400 • Reserves donor for two weeks

1st Installment $ 1,600 • Due before donor is screened at clinic

Travel Deposit ($2,000) $ • Due with 1st installment payment if travel donor • Used towards donor travel costs for cycle and will be refunded/charged

remaining balance post retrieval

2nd Installment • Final balance, due after donor passes screening at clinic

Agency fee $ 1,550 • Donor recruitment, pre-screening of donor, fertility test with AMh

background check, transcript check, donor management, travel coordination, and donor gift post retrieval Donor Legal $ 400

Donor Cycle Insurance $ 360 • Unless purchased by the clinic

Psychological Evaluation / Testing with PhD Level Psychologist $ 400 • Waived if performed by clinic or in-house clinic psychologist

Donor Compensation $ 5,000

Optional/Additional Cycle Fees: Donor Travel bonus ($500 in state/$1000 out of state) $ Directed agreement between donor and Intended Parents ($50) $ if desired

2nd Installment Total $

TOTAL $ Donor Number Selected ____ Donor Compensation _________________ Initials __________

If the donor does not pass the Initial Screening (medical/genetic/psychological), I may roll over my deposit onto a new donor for no additional fees. If screening of the donor has been performed on the direction/orders of the clinic, I will be charged for that screening. Reservation fee and 1st installment are not refundable under any circumstance. A 3% travel coordination fee will be added to the balance of all travel expenses.

____________________________________________________________________________ Donor Recipient Signature Date

____________________________________________________________________________ Donor Recipient Spouse/Partner Signature Date

____________________________________________________________________________ The Donor Solution Representative Signature Date 4265 San Felipe, Suite 1100 Houston. TX 77027 713.827.0301 (o) 887.518.4803 (f) CONFIDENTIAL INFORMATION

!Fee Schedule - Family Premiere Program

Recipient Name: Clinic:

CYCLE FEES

Reservation Fee $ 400 • Reserves donor for two weeks

1st Installment $ 1,600 • Due before donor is screened at clinic

Travel Deposit ($2,000) $ • Due with 1st installment payment if travel donor • Used towards donor travel costs for cycle and will be refunded/charged

remaining balance post retrieval

2nd Installment • Final balance, due after donor passes screening at clinic

Agency fee $ 6,550 • Donor recruitment, pre-screening of donor, fertility test with AMh

background check, transcript check, donor management, travel coordination, and donor gift post retrieval Donor Legal $ Included

Donor Cycle Insurance $ Included • Unless purchased by the clinic

Psychological Evaluation / Testing with PhD Level Psychologist $ Included • Waived if performed by clinic or in-house clinic psychologist

Donor Compensation $ 5,500-10,000

Optional/Additional Cycle Fees: Donor Travel bonus ($500 in state/$1000 out of state) $ Directed agreement between donor and Intended Parents ($50) $

2nd Installment Total $

TOTAL $ Donor Number Selected ____ Donor Compensation _________________ Initials __________

If the donor does not pass the Initial Screening (medical/genetic/psychological), I may roll over my deposit onto a new donor for no additional fees. If screening of the donor has been performed on the direction/orders of the clinic, I will be charged for that screening. Reservation fee and 1st installment are not refundable under any circumstance. A 3% travel coordination fee will be added to the balance of all travel expenses.

____________________________________________________________________________ Donor Recipient Signature Date

____________________________________________________________________________ Donor Recipient Spouse/Partner Signature Date

____________________________________________________________________________ The Donor Solution Representative Signature Date 4265 San Felipe, Suite 1100 Houston. TX 77027 713.827.0301 (o) 887.518.4803 (f) CONFIDENTIAL INFORMATION

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Third Party Parenting Reading List “a place to get started”

“Having your Baby through Egg Donation”, Ellen Glazer, Evelina Sterling. 2005 Perspective Press. “Maybe Baby”, edited by Lori Leibovich. 2006 Harpers Collins “I want a Child”, Carmen Martinez Jover www.carmenmartinezjover.com “A tiny itsy bitsy Gift of Life, an egg donor story”, Carmen Martinez Jover. 2006 www.carmenmartinezjover.com and www.amazon.com “Creating Life against the Odds”, Lonny Higgins. 2006. www.lonnyhiggins.com “Hope and Will have a Baby, the gift of Egg Donation”, Irene Celcer Graphite Press 2006. “Family Building through Egg and Sperm Donation: Medical, Legal and Ethical Issues”, Susan Crockin, 1995. Jones and Bartlett “Assisted Reproduction: The Complete Guide to Having a Baby with the help of a Third Person”, Theresa Erickson and Mary Ann Lathus, 2006. www.amazon.com “Rewinding your Biological Clock: Motherhood Late in Life, Richard J. Paulson, Judith Sachs, 2000. “Phoebe’s Story: A story about Egg Donation”, Linda Stamm Ph.D 2003. (RESOLVE of the Southeast) “Mommies, Daddies, Donors, Surrogates: Answering Tough Questions and Building Strong Families”, Diane Ehrensaft, PhD., The Guilford Press, 2005. “Conquering Infertility: Dr. Alice Domars Mind/body Guide to Enhancing Fertility and Coping with Infertility”, Alice Domar, PhD., Penguin Books, 2004. “Mommy, was your tummy Big?” Carolina Nadel. www.carolinanadel.com