Santos gives very good answers. I guess one first has to decide what actually has to be signed or not. Personally, we simply document in the summary that a patient refuses vaccinations.
The Scan snap is basically considered state of the art for scanners in that price range. You can try Scanaway, which is extremely good software for document sorting. I have been using AC for over three years and do not yet feel comfortable with its Import feature.
We receive everything digitally and/or scan everything such as demographics and use our own company's software, Fax2Files to sort all the documents. We find this much more efficient and safer than Import. Every single file is at your fingertips. Sometimes, I think you have to decide what actually needs to be in the AC folder and what doesn't.
As for the ROS, I agree with Santo, the nurse can enter the ROS when she puts in the HPI and vital signs, etc.
Finally, as to what you are trying to with a patient filling it all out, Amazing Charts has an interface to a company called Instant Medical History will allow a patient or a provider/nurse to answer a series of questions which then are formatted and entered into the correct fields. It can even be maximized to cover the entire computer screen, which can only be taken down with a password and, unfortunately as a bug, through task manager.
