I guess the question is whether you are generating a letter yourself. If you are wanting to do this easily - do your chart note and then sign. Then when it comes up to the print/send letter screen go down to the letter writer, choose who you want it to go to and generate letter - use whatever template you want and make the letter. At the bottom you can include demographics as well as whether to include the chart note and hit print - print to your fax driver and choose destination - done.
It sounds like your issue is that you are not generating the letter yourself and if you have have your staff do it then it will have their signature. Otherwise you can do the same by going into administrative options and assigning your name/signature to their info and when they are logged in it will sign your name, but that also gives them the ability to generate letters with your name and signature without you seeing them.
