Why would you bother printing all the "imported items"?
Nowdays, a huge amount of that is bloat and useless garbage.
All I would want to send with a chart to someone else would be a few recent labs and imaging reports, and probably some consultant reports.
Does your doctor really want all the INR reports for the last 5 years?
Or all the copies of correspondence with insurance clerks about prior authorizations?
Or ER and Urgent Care visits for stubbed toes and earaches -- with each report taking 15 pages to document?
Of course, what we often get from other practices is a xerox copy of all that and more-- half a ream of paper which the clerks dutifully scan in, and would then be something that would be passed on to the next practice in your scenario.