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Maternity Preregistration

Preregister for your delivery at Evanston or Highland Park Hospital up to 90 days before your due date. You'll need:

  • Your (or the insured's) insurance information, including group name and number
  • Full contact information for your spouse or designated emergency contact

Items marked with an asterisk (*) are required. This is a secure form.

Please note that the NorthShore policy does not permit videotaping/still photography during delivery. You may take pictures/videos before and after the birth of your baby.

Mother's Information

Spouse's Information

Specific Information