Nancy suggested that we could just log in as her and create her letters and Rx's as she instructs us. But I don't like that. The system should be flexible enough to allow a real "paper" feel to all of this. And more importantly, it should be properly tracking the chain of custody of these sort of things to prove that we did handle it in just such a fashion. From me taking a message and setting it up, to my provider with her approving and or adjusting it (number of refills or what have you), and back to me or the MA (or who ever else on staff) to complete the task be it fax, phone, mail, pick-up and so on. AC has always prided itself on behaving in a way that is in tune with the way we really work and chart, well here is a place it needs to finally tweak itself to do such. But to date our providers are the bottleneck in our offices. I've been saying it long enough.