Labor and Delivery Registration

Use our online delivery registration form to reserve your admission, we recommend that you complete your delivery registration before your seventh month of pregnancy.

Note: You can find your medical registration number on any of your Northwestern Memorial Hospital bills or request it by calling 312-472-3612.

Start the online pre-registration process

Pre-registration Paper Forms

To complete your registration download, print and fill-out the following forms to be faxed.

Please fax your pre-registration paper forms to the appropriate number below:

If your due date is within the next 90 days

please fax your pre-registration forms to 312-472-0127.

If your due date is greater than 90 days

please fax your pre-registration forms to 312-472-3505.

A Healthy Start

You may download "A Healthy Start" -- a free information card about the benefits of breastfeeding, rooming in, and other practices we encourage in the hospital to help you succeed: