Most organizations pick one electronic signature level and apply it to everything they sign. That single decision costs them either customers or court cases, and usually they cannot tell which.
For decades, a handwritten signature on a form was the weakest link in the chain. Easy to forge. Easy to lose. Hard to verify after the fact. When hospitals went digital, ordinary e-signatures seemed like an obvious upgrade. They were faster to collect, cheaper to store, and impossible to misplace. But in solving one problem, they created another.