Preregister for your delivery at Evanston or Highland Park Hospital up to 90 days
before your due date. You'll need:
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.
Please note that items marked with an asterisk (*) are required.
Your registration will not be submitted until you click "Submit My Preregistration"
at the bottom of the page.
Please take a moment to review the information you provided in the previous screens.
Need to make changes?
Mother's Employment Information
Spouse's Employment Information
Emergency Contact's Information
Thank you! We've received your preregistration for
Hospital, and have emailed you a confirmation.
Please remember to fax a copy of your insurance card to to finalize your registration. Please note the
mother's name and due date on your fax.
We appreciate your business and look forward to serving you in the future.
Return to NorthShore.org.