What Changes When Your Practice Moves ChiroTouch onto Windows 11

The ChiroTouch system-requirements document effective September 30, 2025, now lists Microsoft Windows 11 (64-bit) as the operating system for both the dedicated server and every workstation in your clinic. If your practice is still running Windows 10, this is the moment to sit down with your IT professional and confirm that each machine meets the current hardware thresholds before you schedule the upgrade. The requirements are split by clinic size: a practice with one to seven ChiroTouch workstations needs a server CPU with a benchmark score of at least 3,000 (measured on cpubenchmark.net), 6 GB of available RAM, and 20 GB of free hard-drive space, while a practice with eight or more workstations steps up to a benchmark score of 8,000, 12 GB of RAM, and 50 GB of free space. Both tiers require a SATA III hard-drive interface, a 10/100/1000 Mbps wired network card, and Microsoft SQL Server 2016 or newer, with the Standard Edition recommended if your ChiroTouch installation has the EHR module enabled. One detail that trips up office managers during a migration: the server must be a dedicated, standalone desktop computer. Laptops, Macs, and all-in-one units are explicitly not acceptable as the ChiroTouch server, so if your front desk has been doubling as the database host, that setup needs to change before the OS upgrade.

On the workstation side, each computer running ChiroTouch needs a two-core CPU with a benchmark score of at least 1,500, 4 GB of RAM, and 10 GB of available disk space, all under Windows 11 64-bit. A constraint that surprises a few practices during rollout is the Office requirement: you must install the 32-bit version of Microsoft Office, licensed for commercial use, and if you are using Office 365 it has to be installed locally on the machine rather than accessed purely through a browser. Word and Excel are the specific applications ChiroTouch calls on for opening, exporting, and printing forms and reports, so a license that covers only Outlook will not be enough. Every workstation and every user on that workstation also needs to be able to reach a shared directory on the server computer; if your network architecture has changed since the last refresh, verify that shared-folder permissions are intact before you point the new Windows 11 installs at the server.

Peripherals and integrated technologies are where quiet failures tend to show up after an OS change. The only document scanners ChiroTouch supports are the Fujitsu ScanSnap ix500, ix1500, and ix1600; other TWAIN-compliant USB scanners may work but fall outside supported status. Signature pads are limited to the ePad and ePad II models, with drivers available from the manufacturer's site. If your front desk relies on an iPad for check-in or quick chart access, confirm the tablet is running the latest iOS, because ChiroTouch's iPad apps track the current Apple release. On the network side, make sure your firewall allows traffic on port 1433 for SQL Server, port 8221 for iPad communication, and port 443 for web traffic. If your practice uses CTSecure for off-site storage, the connection expects 25 Mbps download and 10 Mbps upload, so a slow or congested office link will surface as intermittent sync delays rather than an outright failure.

Finally, walk the not-supported list before you buy hardware or reconfigure your network. ChiroTouch does not support 32-bit operating systems, Windows Small Business Server, Microsoft Surface tablets, touchscreens, 4K monitors above 1920 × 1080 (the application may display errors at higher resolutions), network printers and scanners, biometric fingerprint scanners, VPN connections, terminal workstations, virtual machines, or RAID 5 arrays built on spinning disks. The server also cannot be a Mac under any configuration, and wireless connections to the server are discouraged because of the risk of data loss. On the software side, ChiroTouch will not install on a machine that already runs ACOM Healthcare (on-premises), ChiroNotes, ChiroOffice, Chiro8000, EHR Attendant, EZBiz, MyoVision, Pinnacle, QuickCharts, Sage, or Seamless, and it will conflict with any application that claims the default SQL instance MSSQLSERVER or port 1433. Running through this checklist with your IT vendor before the Windows 11 migration will save your front desk from a day of troubleshooting on a Tuesday morning and keep your ChiroTouch support tickets focused on the questions that actually need a specialist's answer.

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