1. You can't change the drop-down instructions (that I know of)
2. If you print out the med list the way I mentioned, you can't print anything inspiring or uninspiring. Not sure what kind of patients you have; mine either take their medications and I am happy, or they don't and I don't care. I can't hold their hand.
3. The font is rather large. If they can't read it, they need an eye doctor and not you. lol
4. If you want to add things, then you would have to go to the letter writer, tick only the medication box on the left, which will give you a list of medications. You can then write whatever you want at the bottom or even make a template. The font on that one is considerably smaller.