Digital signature/appending question

Got a question for y'all. I work with a medical practice who just started using Acrobat 9 to affix digital signatures to their documents. Using Acrobat, they've created a page that can be filled in with information about a patient, and then digitally signed by the doctor.
Here's the thing. We just got done scanning all of the patient charts for this practice and converting then to PDFs. So now, all the charts are electronic. Each chart is divided into seperate tabs (Patient Info, Treatment Plan, etc.). After a doctor fills out the page they've created and then digitally signs it, we would then like to save it and then append it to the corresponding tab in that patient's chart (in this case, Pateint Info). Using Acrobat, filling it out, signing it and saving it is no problm, it's when we append it that the problem surfaces.
After it's appended, the signature goes away! What can we do about this? Obviously, we don't want that signature going anywhere. Any ideas? Please help, we'd like to get this solved ASAP!

Thanks for the link! However, there is something new that has recently arisen:
Every time a patient comes into the office for an appointment, a new page is added to certain parts of the chart (such as Progress Notes) detailing their last visit. Now that all the charts are electronic, this can be done on a computer. So, for a section like, say, Progress Notes, there's all the old charts organized with the most recent one on top. However, that's not the very first page-the very first page is a blank progress note, ready for the patient's next visit.
All they want to be able to do when they fill out a chart is, after it's saved, have it go on top of the chart (as it's now the most recent page) and have a new blank page appear, ready for the next visit. It's like inserting a blank page, but they don't want to do that-they simply want a new blank page to appear and move to the front on top of the most recent page.
Does this make sense? I really could use some help ASAP!

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