A server computer for storing an electronic medical record with an electronic signature in a database has a network interface circuit and a processing circuit. The network interface circuit is configured to provide communications over a network. The processing circuit is configured to receive an electronic medical record and store the electronic medical record in the database in compliance with at least one record storage criterion. After storing the electronic medical record in the database in compliance with the at least one record storage criterion, the processing circuit is configured to receive an electronic signature for the electronic medical record and store the electronic signature in association with the electronic medical record in the database.