I receive all my fax online via email as TIF (better than pdf i think). My MA imports it directly into the patient's chart and forwards it to me for review. Currently i use windows piture and fax viewer to write a note on the actual import and save it. If I am using my tablet pc, I can literally write on the report. If I am using my desktop, then I just type over it. It is a good method, but I am still afraid of missing a report. I would love to have a way to place a checkmark next to the import to document that it has been reviewed.