Sure, I can help. First, you must understand the mantra that almost all print drivers suck. I have spent more time setting up print drivers than all of my Windows installs combined.
The problem is in order for these growth charts to print correctly, the settings need to be correct. While they probably are correct in the driver in Devices and Printers, the print driver that comes up in the printer preview window doesn't always have the correct settings. (I realize the drivers in the preview window should be the same as the driver in Devices and Printers, but somehow the growth charts change the size). This is especially true of the inexpensive HP printers in the exam rooms. And, most of us have cheap printers in exam rooms. Don't ask me why the print drivers seem to remember "letter size" when printing notes, etc.
So, after clicking on weight and bringing up the growth chart, click on print preview/zoom. Don't waste any time screwing around with the zoom "feature." You will see the print preview window.
![[Linked Image from amazingcharts.com]](http://amazingcharts.com/ub/attachments/usergals/2018/02/full-4-1006-print_preview.png)
Click on the printer on the far left. This will bring up your print driver window with your default print driver (I chose a non-default driver for this demo). The key is to find Preferences.
![[Linked Image from amazingcharts.com]](http://amazingcharts.com/ub/attachments/usergals/2018/02/full-4-1007-print_driver_window.png)
Click preferences and find Paper/Quality. Notice the paper size is 3 X 5. If you print there, you will get a 3" by 5" growth chart. So, my guess is when you just print your Paper/Quality size is set to 000.3 X 000.5. Every print driver screen will be different.
![[Linked Image from amazingcharts.com]](http://amazingcharts.com/ub/attachments/usergals/2018/02/full-4-1008-print_preferences_paper_quality.png)
Change that to Letter and you will see 8 1/2 X 11. Click on OK and Print.
![[Linked Image from amazingcharts.com]](http://amazingcharts.com/ub/attachments/usergals/2018/02/full-4-1009-letter_size.png)
You should then get a normal size growth chart or whatever size you enter in the paper quality field.
There are some other weird things. If you click on Page Setup using the icon between Zoom and the Print icon in the first snippet, it was nearly always open as letter. Clicking OK at the bottom, will set the settings to "Letter." And, I believe once you print weight correctly, it will always print weight correctly until you print height. If you play around with the settings, you may be able to have it remember them. Or you can print to another printer which keeps the letter driver.
On the postage size growth chart, I get that in my exam rooms as the default preferences is blank. I have to change it to "Letter" or, again, whatever I want. BUT! when I print a progress note it defaults to letter.