Jumeivita Donor Application – Begin Your Journey | Jumeivita

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About us
Services
Contact

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Become a Donor — Make a Meaningful Impact

Share your information below to begin the donor screening process.

Your details remain confidential and help us ensure safe, successful matching.

Name*

Email*

Date of Birth*

Phone Number

Current City/State

Height

Weight

Ethnicith

Asian

Caucasian/White

African/African American

Hispanic/Latino

Native

Middle Eastern

other

Do you have regular menstrual cycles?

Yes

No

Have you ever donated eggs before?

Yes

No

Number of successful past donations（if any）

Do you have any medical conditions?

None

PCOS

Thyroid issues

Hight blood pressure

Diabetes

Other

Do you smoke?

Yes

No

Do you drink alcohol?

Never

Occasionally

Weekly

D you have any hereditary conditions in your family?

Education Level

High school

Some college

College degree

Master's degree

Doctorate

Other

Occupation

List any current medications

Do you use recreational drugs?

Yes

No

Please email your recent photos to:Info@jumeivita.com

Contact

Warm support is just a message away

Email

Phone

Info@jumeivita.com

+1-661-505-2186

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Address

California,USA