Long Island New York Donor Egg Program Potential Egg Donor Form

We have posted the egg donor application form for your convenience. 

Egg Donor Qualifications:

• Ages of 21- 32 
• Healthy weight 
• Non smoking
• No significant history for chronic medical conditions or genetic diseases
• Physically and emotionally healthy
• Must participate in and pass a screening process including a psychological examination 
• Must have transportation  

If you meet the Egg Donor Qualifications above, please download the application below.  You can mail it directly to Barbara Skidmore, RN below.  Once the application is received our staff will review the material and contact you directly if you are deemed an appropriate candidate.

• Download the Egg Donor Application

Donor Egg Recipient Form

If you are considering a donor egg cycle you need to complete the egg donor recipient form. This form is posted on line for your convenience.

• Donor Egg Recipient Form

Mailing Address for Egg Donor Application

Barbara Skidmore, RN
Center for Human Reproduction
North Shore University Hospital
300 Community Drive
Manhasset, NY 11030

• Donor Egg Program Brochure