The small medical offices around the world can benefit from the implementation of a paperless EHR system in many ways. This paper is about the small practice gaining interest in the benefits of implementing a system that not only benefits the patient but the practice itself as well. In this paper we go over the pre-implementation procedures and processes that are needed for a small organization to be successful, followed by the steps recommended to be the smoothest way to implement an electronic health record (EHR) system.