Wayne:
I sympathize with your shredder woes. We have destroyed many shredders, especially in the early days.
Consider working out a deal with the hospital to add your small amount of info-hazard in with theirs and have it delivered to a commercial shredding service.
Are you talking about having an option to email an order instead of printing it or saving it to the note?
I am imagining how that would look.
In my mind, you could click on Orders and fill out the form, just like always, but then you would also see a combo box for recipients, and a new button, "E-mail Order".
Alternately, you would click "Email Order", and a little dialogue box would pop up containing the order you just typed, a combo box, and a "Send" button.
Is that what you are imagining?