My personal preference is to start from scratch. There are times that I have done conversions but if I haven't put the data in then I'm usually not very confident that it will be good when it comes over. You know the adage of "garbage in, garbage out". Also, depending on how long the practice has been in business there could be a very large percentage of patients that are no longer active and I don't want a bunch of stuff that isn't useful to come over.I know the data conversions to TotalMD are only $999 so it makes the idea a little more appealing but still I don't normally do it. James, before you decide on Kareo for sure, do yourself a favor and look at TotalMD (you should probably schedule a demo with them). Of course I'm biased since that is what I use but I know they are extremely popular with Mental Health so it is probably worth an hour of your time. If nothing else it could help confirm your decision to pull the trigger with Kareo.