Log onto the signing portal and add the additional subordinate entities or facilities to those already listed, if any, and save the new entries. Then press “Send DSA” to send a new copy of the DxF DSA to the authorized signer. The new signature page will include the new subordinate organizations, along with the subordinate organizations listed previously. Sign and return the DxF DSA.

The original signed DxF DSA will be retained by the signing portal for your reference and by the Department of Health Care Access and Information. Your organization and any previous subordinate entities that were listed will keep the original execution date for the DxF DSA (the date that your organization and all previously listed subordinate entities and facilities signed the DxF DSA). The newly signed DxF DSA establishes a new execution date for any newly listed subordinates that have signed.