Some medicaid payors require parent signature on daily session notes. Some accounts are able to see the "add signature" after a session note is completed and some are not able to. All accounts should have access to this, without requiring supervisory level access. This is different than the "sign now" option, which only allows the current logged in user to sign. And the "request signature" option requiring caregivers to log into an account and sign. The less effort to get the signatures the better this will work out for everyone.