I ditto Bert. Dedicated server, clients on a domain, wired, and either PCs or notebooks in the rooms. I love having my notebooks on their own little tables so I am directly in front of the patient as I type. Check out the Dell site....lots of good deals going on now and, if it is your cup of tea, good leasing options as well. You can still get XP Pro (much to my glee as I am getting ready to purchase a new desktop for the back office) with option to upgrade to Vista Business in the future included in the price. I bought a Vostro laptop last fall to use as an extra workstation in the office and to take with me when I travel and it is great. I excluded the bells and whistles, got the basic hard drive, and upgraded to lots of processor speed. As your practice grows and you begin importing everything and adding pictures, having a good dedicated server with plenty of memory and processing speed and a stable OS like SB 2003 will hopefully serve you for many, many years to come. JMO.
Leslie