Skip to Content
Due to a recent surge in pediatric RSV and flu, we are allowing only visitors 18 years of age and older in our general inpatient (hospital) settings at this time for the safety of our patients, in line with Illinois Department of Public Health guidance. Read More

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