I thought that I had it figured out but I don't. The ma is signed in as the MA and I am signed in as me. I send him the order for a referral and the reason for the referral in the comment area of the referral. He sets everything up and sends the patient a letter with the details....logged in as him then he sends me a note reminding me to write the referral letter to the physician which I do logged in as me. The problems then is that when I write my letter logged in as me it will sign my MA's name unless I edit it to reflex that I am sending the letter. I don't understand this as we don't even use the same templates. This only started a few weeks ago. It used to be my name if I wrote the letter. It is easier to just change it right now. Will need to check it administratively when I have some time.