To review and sign your note, simply click the "Review & Sign" button at the top or bottom of any note section page. This will display a print preview and highlight any required fields or errors that must be addressed to meet common billing standards. Once your note is complete and accurate, click "Sign Note" to finalize it. Please note that once signed, the note becomes locked and cannot be edited. If you need to make additional comments or updates after signing, click the "Addendum link" at the top of any signed note. This will create a new entry with a timestamp, along with the signing provider’s name and IP address.