NorthShoreConnect

You are just a few minutes away from your NorthShoreConnect account. We need some basic information about you to create your account. You will then be asked 4-5 questions from a secure, third-party verification service to verify your identity. Once verified, you can complete the final account setup steps and begin enjoying the benefits of NorthShoreConnect.

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Follow these steps to sign up for a NorthShoreConnect account.

Enter your personal information.

Verify your contact information.

Choose a username and password.

If you have any questions, please contact us at 1-847-425-3900.

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Follow these steps to sign up for a NorthShoreConnect account.

Enter your personal information.

Verify your identity.

Choose a username and password.

If you have any questions, please contact us at 1-847-425-3900.

Indicates a required field

You are just a few minutes away from your NorthShoreConnect account. We need some basic information about you to create your account. You will then be asked 4-5 questions from a secure, third-party verification service to verify your identity. Once verified, you can complete the final account setup steps and begin enjoying the benefits of NorthShoreConnect.

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First, we need to collect some information about the patient. If you have any questions, please contact us at 1-847-425-3900.

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Now, we need to collect some information about you. After you submit the request, we will set up your appointment. If you have any questions, please contact us at 1-847-425-3900.

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We need to collect some information about the patient in order to schedule this appointment. If you have any questions, please contact your clinic.

First name

Middle name

Last name

Date of birth

Legal Sex

Female Male Unknown

Home phone

Work phone

Mobile phone

Email address

Verify email address

Last four digits of SSN

In order to grant you a NorthShoreConnect account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your NorthShoreConnect account. If you have any questions, please contact your clinic.

We are checking with a third-party system to verify your identity. This may take several seconds.

In order to grant you a NorthShoreConnect account, we will verify your identity using questions from a third-party verification system. Once verified, you will be able to create your NorthShoreConnect account. If you have any questions, please contact your clinic.

These questions are generated by a third-party system to verify your identity.

Sign Up

Name

Address

Other Information

Sign Up

Name

Address

Other Information

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