All FAQs

What is a Direct Address?

A Direct address is needed to exchange health information using Direct. Because Direct is based off of
existing e-mail standards, a Direct address looks very similar to an email address. Like email addresses,
Direct addresses can be issued to individuals or to organizations, departments or specific devices. An
example of a Direct address is While this may look and function similar to an
email address, it is important to know that a traditional email account (e.g. gmail, yahoo mail, or your
company e-mail) are NOT Direct addresses. Messages sent to or from traditional email accounts are not
secure and will fail to send via Direct. (

What is VITLDirect?

VITLDirect is a messaging system that follows the Direct technical standard for exchanging health information between health care entities (e.g. primary care physicians, specialists, hospitals, clinical labs) in a trusted network. It is secure, easy-to-use, inexpensive, and approved for use by nationally-recognized experts and organizations. VITLDirect functions like regular email with additional security measures to ensure that messages are only accessible to the intended recipient, per the protection regulations of the Health Insurance Portability and Accountability Act (HIPAA).

Is there an installation cost for an interface to the Vermont HIE?

Many first-time costs of conecting to the VHIE can be reimbursed through a grant from the Vermont Department of Health Access. Fees for other organizations vary. Please contact us at for specific information.

How do I get started with VITLAccess?

Please contact us at and one of our eHealth specialists will contact you about enrollment. Completion of a VHIE Services Agreement is part of the enrollment process.

Why Should I Use VITLAccess?

With a patient's consent, you can use VITLAccess to view demographic, medical and medication information about your patients from other health care organizations. This is helpful when establishing a relationship with a new patient, or when coordinating care with providers outside of your organization is necessary.

What are the system requirements for VITLAccess?

There are a limited number of operating systems and browser combinations recommended for use with VITLAccess. For maximum performance, select one of the combinations listed below:

Windows 7 SP 1

Windows 8.1


Internet Explorer 11

Internet Explorer 11



What Information is Available With VITLAccess?

  • Lab test results
  • Radiology exam reports
  • Patient demographics
  • Transcribed reports
  • Medication histories
  • Clinical summaries

Independent labs are providing test results as well.

Who determines the consent policy for the VHIE?

The patient consent policy for the VHIE is established by the Agency of Administration and approved by the Green Mountain Care Board. VITL's role is to implement the statewide consent policy.

How can patients see what information on them is available in the VHIE?

Under the Vermont consent policy, you have the right to access the information about you that is available to providers through the VHIE. To make a request, please call the VITL office at 802-861-1800 or complete a Contact Us form.

How can patients find out who has accessed their data?

Under the Vermont consent policy, you have the right to see an audit report of each  by a provider of the information available about you. To request an audit report, please call the VITL offie at 802-861-1800 or complete a Contact Us form.