When creating a new note you can add a Co-provider who is able to edit the note and sign the note alongside of the Provider.
The Sign note task will show up on the Providers Dashboard Worklist and once it’s signed a Finish note Dashboard Worklist item is shown to the Co-provider alerting them to sign the note.
Once both the Provider and Co-provider have signed the note, both of their signatures show up on the completed note.
If a provider is required to have supervisor look at their notes and sign off on them. You can check the Supervised provider box in the Provider Configuration and this will require a Co-provider on note.