The 2004 CONCACAF Women's Pre-Olympic Tournament qualification determined the five teams that joined Canada, Costa Rica and the United States at the 2004 CONCACAF Women's Pre-Olympic Tournament in Costa Rica.

[3] Canada and the United States automatically qualified for the final tournament, along with hosts Costa Rica.

Trinidad and Tobago won 6–2 on aggregate and qualified for the 2004 CONCACAF Women's Pre-Olympic Tournament.

[6] Jamaica won 4–0 on aggregate and qualified for the 2004 CONCACAF Women's Pre-Olympic Tournament.

Haiti won 10–2 on aggregate and qualified for the 2004 CONCACAF Women's Pre-Olympic Tournament.