All fields with the asterisk (*) are required. Step 1: Identify Yourself First Name * Last Name * Email * Step 2: Identify DC Clinical License or Medicaid Provider ID Number DC Clinical License Number Specialty * Medicaid Provider ID Number Step 3: Create Your Direct Secure Messaging Directory Profile Organization Name * Organization Category * Hospital, clinic, private office, etc. Organization/Practice Address * City * State * Zip * Phone * Verification I have verified the information entered above and have updated any out-of-date data. I understand that I still have to contact CMS to update my data on their database. I have read the DC HIE HIPAA Privacy and Direct Privacy policies and procedures and the Direct Subscription Agreement. CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions.