With iconpractice you don’t need to do backups. We do hourly backups of clinical records and daily database backups to off site locations to preserve your data in the (unlikely) event of something dramatic like server failure or the server building burning down!
If at any stage you want an export of your patient list you can do that in the Tools->Export section. If you want your database and/or clinical records as an export we can provide those files to you on request. Just contact us at support.