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adding clinical information to a sign office notes or communication is performed in the following manner under chart viewer choosing notes and then selecting the note that you wish to add clinical information to or change clinical information highlighting the notes and then either choosing edit in the lower left-hand corner or right-clicking over the note and choosing edit it will take you to that clinical note and then information can be added in this case we will add under the discussion summary in the pretext discussion summary box images reviewed then signing the note will make those amended changes as you can see the statement image is reviewed with the amended date and time and by the individual will be posted