Scanning in old records is a great summer job for some kid who actually would like to work. I agree with Martin. Scan in as much as you can. I have been scanning old records in now for almost 2 years. All of the long-term active patients are in and have been for a long time. We are now working on the "short-term patients" (without meaning to sound indelicate, these are patients 85 and older) but are doing it as we get a chance. Everything new that comes in is electronic so, even without all of their old charts scanned, I am still pretty much able to work without their paper charts. The inactive charts are stored in my ample crawl space under my building and hopefully the sump pump will not fail. Every January we get down there and cull out the records that are now old enough to shred.