The trick seems to be to install Printopia on any Mac in the clinic that is able to print on any printer.
Then, install text expander on the iPad & make it sync to my MobileMe account.
Clinic notes are then a breeze to enter into OSCAR with text expander, and longer notes are simply dictated into the ipad using Dragon. All specialist referrals are dictated, then copy/pasted into the consultation.....then faxed directly from the iPad to the specialist with the patient in the room! Yes, occasionally I will type a note directly or via a blu-tooth keyboard....
Prescriptions print seamlessly from the iPad to any printer I select, and I use Dropbox on the iPad to print out patient pamphlets when necessary. I often now also email them to patients from the iPad.
Uninsured services (like sick notes, etc.) are also paid for immediately using the iPad, directly into Paypal, and receipts are emailed to the patient or printed. The IPad's multitasking makes this a breeze!
The iPad with the camera will make it easy to attach photos of things to patient notes. Can't wait to get that in April!
BTW: had to work during superbowl - so used the TiVo app on the iPad to schedule the recording in the USA remotely, then the sling box app to stream the recording later to the ipad while at the office doing my paperwork. Made it bearable.