Phreesia took too much time and was no help.
I would say we have gone paperless in one office and are getting there in the other one.
We scan new patient registration information (and old patient update and developmental sheets) as soon as they come in and shred that, we do not use an electronic tablet. (So does that mean we aren't really paperless?) We do not make charts for new patients. We are in the process of scanning old charts when the patient is seen and more.
Faxes come in through the Brother fax and never go to paper. Most simple forms I write up in Paperport, but sometimes a complex form is easier to do in paper and I will occasionally print one out.
I will occasionally scribble notes to the MA about shots or labs on exam paper or scraps (that doesn't count, we don't have to get rid of exam paper do we

)
I don't use orders to send them information, it is too clunky (they have to update their inbox, ect., it's a small office, a lot easier to talk to the staff, imagine that!)
Billing is done through AC and MTBC (don't get me started) and no paper superbill is created.
We do still give paper information handouts to patients.
However, we have cut paper use tremendously.
I started writing this by saying we had gone paperless, which functionally I feel we have. But then there are these caveats.
I will agree with Travis, "sometimes a little paper is O.K."