I'm not attesting this year, but in the past we printed, or at least 'print previewed' the plan summary for the patient. She can do that and give to the patient, or send to the patient Updox portal, before she signs the note. Of course all this is easier if you just finish your note while you are with the patient. I would write the plan as if I'm talking to the patient, not the chart, and then give it to them. For example, "For your high cholesterol, I recommend you start atorvastatin and..."