[Sakos]

This depends on where you live and what the facility is like, no? At least in Germany, patient records like therapy notes are only hard copy. I don't see why they should ever be digitalized and I'd never go to a therapist or a facility that did have notes in digital form. I'm not particularly paranoid either, I'm just aware of how common it is for companies to be hacked and how rarely they face any consequences for not sufficiently investing in IT security.

[Tycho]

Even if something only exists as hard copy today, who knows if it will stay that way. Some new regulation might come along requiring practices to digitise all their records.