Many prediction problems arise with data collected in groups. In this setting, hierarchical conformal prediction (HCP) (Lee et al., 2026) provides distribution-free prediction sets for a new observation from a previously unseen group under hierarchical exchangeability. In many applications, however, prediction is conducted only after a few observations from the group of interest have already been collected. Standard HCP cannot leverage these observations, as its required symmetry conditions do not hold in this setting. At the same time, the initial sample may still be too small for standard conformal prediction applied within the test group to be informative. We develop predictive inference methods for this setting. Our proposed method, Generalized HCP (GHCP), restores the relevant symmetry needed for conformal inference by assigning the test group a randomly "donated" reference group size. GHCP further leverages the initial test group observations to improve the quality of the nonconformity scores for prediction within that group. To improve efficiency, we introduce a variant that restricts the set of eligible donors. We demonstrate the performance of the proposed method through simulations and an illustration on the American Community Survey dataset.

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