Hello Barb:
You have 2 options to avoid running up and down stairs.
1) When printing, click on the "Setup" button and select a PDF printer (all recent Adagio modules come with the AdagioPDF driver). Then start an email and attach the PDF file.

2) Use Adagio's emailing capabilities (including the cover sheet set-up as described by Support) and direct the email to Outlook. As long as you have Outlook set up to not send immediately, you would have the opportunity to add your message to the cover sheet.