I wanted to bring this up so hopefully you are not missing things too. Here is the issue....Importing Items Sign Off: Imported items no matter what format (pathology, consult, photo etc) are missing the comments I have written and the signature. According to one of VP's today this is not limited to my database as they have duplicated it on theirs, but have not heard from other AC users. It is not happening in the labcorp sign off page. Hope this helps! For now we are printing and signing off and importing them. This will not be resolved until another update.