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Egg Donor Application

How to Apply:

If you meet the basic criteria:

  • Must be between the ages of 21 to 30 with good general health
  • Within normal weight range (body mass index greater than 19 and less than 30).
  • Nonsmoker of cigarettes or marijuana (not smoked within the last 6 months).
  • Not taking any type of drugs or prescribed medications.
  • No recent tattoos (within the last 12 months).
  • No known genetic or sexually transmitted diseases.
  • Not adopted.

Click the link below to start the application process. You will need to register for an account in our patient portal, if you do not have one already. Once you sign into the patient portal you will click “Egg Donor Registration” and fill out the required information. The application will be submitted electronically to a donor egg coordinator who will then review your application. The review process can take anywhere from 3-5 business days. Once the application is reviewed and completed you will receive confirmation either by phone or email, please make sure to include this information on the application. Once accepted into the program we will schedule a consultation to go over the procedure and any questions you may have.

We thank you for your time and interest in our egg donor program and look forward to speaking with you soon.

Fill Out the Egg Donor Application »

You can email or fax it to:
Donor Egg Coordinator
fax # 904-399-5645

 

Care, Cost, Convenience

Infertility is a 7 day a week process. The Downtown Jacksonville center is open 7 days a week. Jacksonville and Daytona office hours are 7am – 4pm.
JACKSONVILLE

Jacksonville Downtown »
836 Prudential Dr, Ste 902
Jacksonville, FL 32207
904-399-5620

Jacksonville South »
14540 Old St. Augustine Rd, Ste 2503
Jacksonville, FL 32258
904-262-5992

Jacksonville Beach »
1577 Roberts Dr, Ste 220
Jacksonville Beach, FL 32250
904-270-1135

DAYTONA BEACH

Halifax Medical Center
415 N Clyde Morris Blvd
Daytona Beach, FL 32114
386-254-8211

TALLAHASSEE, FL

Tallahassee Memorial Hospital »
1401 Centerville Road, Suite 202
Tallahassee, FL 32308
1-800-556-5620

Tallahassee, FL »
2623 Centennial Blvd., Suite 101
Tallahassee, FL 32308
1-800-556-5620

SOUTH GEORGIA

Valdosta, GA »
220 Northside Drive
Valdosta, GA 31602
1-800-556-5620

Thomasville, GA »
918 South Broad Street
Thomasville, GA
1-800-556-5620

Brunswick, GA »
3025 Shrine Road, Suite 190
Brunswick, GA 31520
1-800-556-5620

Florida Institute for Reproductive Medicine proudly serving patients in North Florida and South Georgia including Savannah, Columbus, Jacksonville, Jacksonville Beach, Orange Park, St. Marys, Palm Coast, St. Augustine, Palatka, Lake City, Tallahassee, Daytona, Ponte Vedra, Gainesville, Orlando, Melbourne, Ormond Beach, New Smyrna, Port Orange, Brunswick, St. Simons Island, Thomasville, Tifton, Albany, Brunswick, Valdosta

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