membership is open to any Direct exchange participant who is a provider or user of Direct exchange services, any healthcare provider organization, any person providing services to healthcare providers, any governmental entity, any educational or scientific research organization and any other nongovernmental entity serving the healthcare industry with an interest in Direct exchange and the NwHIN.  

We've kept dues very reasonable to encourage all members of the Direct community to continue to be engaged in DTO’s work and to take advantage of the benefits of membership. 

Visit the Membership Dues schedule and application pages to begin the membership process.