Why should patients sign the treatment plan at the presentation? Because a signature is a small commitment, and small commitments make the next decision easier. When a patient signs that they have seen the options, understood the pertinent details, and know what matters most about their situation, you have done two things. You have a clean record that the presentation was ethical and complete, and you have nudged the patient one step deeper into the process. People act consistently with what they have already committed to. A name on a page is not a contract to treat, but psychologically it moves [...]