Windows audio cable- compatible systems

VoiceMeeter Audio Routing Setup for Windows, PatientNotes & Telehealth

This guide helps you seamlessly manage audio routing for PatientNotes and platforms like Zoom, Google Meet, and Coviu using VoiceMeeter, ensuring clear and reliable recording and communication.

🔧 Step 1: Install VoiceMeeter

Download VoiceMeeter Standard from the official website:
👉 https://vb-audio.com/Voicemeeter/

• Run the installer, then restart your computer.

• On first launch, allow microphone permissions when prompted.
  
  
  

  Note: VoiceMeeter is a third-party application. While we will assist where possible, it is not developed or maintained by PatientNotes. When you download it, you will have a 30-day trial
  period. After this, a small contribution (approximately $10 ) may be required.

  According to the developers:

  “Voicemeeter Banana application is free to use with all functions available. You pay what you want, when you want, if you find it useful. After 30 days, the software will invite you to buy a license or continue to evaluate.”

🔧 Step 2: Configure VoiceMeeter

A. Set Your Microphone

• In Stereo Input 1, select your physical mic (e.g., USB mic, AirPod mic).

• Uncheck the A button to prevent echo (you won't hear your own voice).

• Ensure only B1 is checked to send audio to virtual channels.

B. Set Your Output Device (this is the device you want to hear on i.e speakers or headphones)

• In the Hardware Out (A1) dropdown (top-right), choose your headphones or speakers.
  
  

C. Understand Routing VoiceMeeter acts like a digital mixing desk to allow for audio from both your microphone and your telehealth system to be combined

[Your Real Mic] ───▶ [VoiceMeeter Input] ───▶ [Apps like Zoom, Meet, PatientNotes]
                              ▲
[Windows System Audio] ─────────────────────┘

• VoiceMeeter Input = Windows and Zoom system audio OUT.

• VoiceMeeter Output (B1) = This is the combined audio that needs ot go into PatientNotes so that both you and your client will come into PatientNotes.

• VoiceMeeter AUX Input/Output (B2) = Recommended default for Speaker Out of your telehealth platforms, this will ensure better outoput.

🪟 Step 3: Windows Sound Settings

• Right-click the 🔊 speaker icon → "Sound settings" or "Sounds"

Playback Tab:

• Set VoiceMeeter AUX Input (VB-Audio VoiceMeeter AUX VAIO) as the default device for best compatibility.
  
  

Recording Tab:

• Set your physical microphone as the default.
  
  

(Optional) Disable unused devices: Right-click VoiceMeeter VAIO / VAIO3 → Disable (both tabs).

 Step 4: Set Up in PatientNotes

• Open PatientNotes.

• Go to Microphone settings (gear icon or dropdown).

• Set the input to VoiceMeeter Output (B1).

• Confirm the recording bubble is active.
  
  
  

Test It:

• Do a test call with someone.

• As they talk, you should see the audio bubble in PatientNotes appear and move.

• If it doesn’t move, double-check your microphone settings in both PatientNotes and VoiceMeeter.

🎥 Step 5: Configure in Zoom, Google Meet, Coviu

Browser Conflict Tip (Cliniko + PatientNotes)

If you're running both your telehealth session in Cliniko or another program that does not allow you to adjust your sound out and PatientNotes in the same browser, audio input from the other person may not be recorded, even if you can hear them clearly. This occurs because some browsers restrict microphone access to a single tab or app at a time, which can block PatientNotes from receiving the audio feed.

✅ Recommended Setup:

• Use Firefox or Edge for your Cliniko telehealth video call

• Use Chrome for running PatientNotes

This ensures audio is routed correctly to both systems, avoiding situations where VoiceMeeter appears to be working but the recording does not capture your client’s voice.

Help & Troubleshooting

1. Switching from Telehealth (VoiceMeeter) to In-Person Sessions

If you need to stop using VoiceMeeter and use your local mic (e.g. in the room):

1. Close VoiceMeeter:

   • Click the ❌ top-right of the VoiceMeeter window.

   • Click "Yes" to confirm exit.

2. Change Mic in PatientNotes:

   • Choose Built-in Mic, USB Mic, or AirPods from the dropdown.

   • Check waveform appears.

3. Reset Windows Sound Settings:

   • Right-click 🔊 speaker icon → "Sound settings"

   • Input = Local mic

   • Output = Headphones or speakers

4. Restart apps if needed (Zoom, Meet, PatientNotes).

2. Switching Between Zoom, Google Meet, etc.

To prevent audio issues when changing apps:

• Check that:

  • Mic = VoiceMeeter Output (B1)

  • Speakers = VoiceMeeter AUX Input

• If no sound:

  • Restart app

  • Ensure VoiceMeeter is running

  • Recheck routing (B1 ticked)

3.  Mic or Speakers Not Working?

Try these steps:

1. Open VoiceMeeter

2. Confirm routing:

   • Mic in Input 1, only B1 ticked

   • A1 = headphones/speakers

3. Windows:

   • Playback = VoiceMeeter AUX Input

   • Recording = Physical mic

4. Restart app (Zoom, PatientNotes, etc.)

5. Use a test call or sound recorder to confirm functionality

4. Too many devices showing in drop down- Optional Advanced Cleanup

• Open Control Panel > Sound > Playback/Recording  or click the windows sound setting button from inside of Voicemeteer-  this is accessed from the Hardware output  button, choose dropdown A1 and look for the "Open Windows sound" button as shown below.
  
  
  
  Here you will see all the available inputs-  note, do not disable your physical microphones.  To disable or hide the right click when on a device 
  
  
  
  

• Right-click unused devices → Disable
  
  
  

• You also have the option to rename devices for clarity (e.g., "Telehealth Mic").  Noet for this to come into effect you may need to restart your PC and web browsers 
  

Installation Guide