Sony A7c

How to set up your telehealth audio and video to sound and look like a pro

There’s not a better time to set up your home office or studio for telehealth conference calls.

Here are some easy low to high budget ideas to setup your telehealth audio and video to sound and look like a professional.

Topics in this article

  • Room and lighting setup
  • What camera and lenses to use
  • How to setup your camera to stream
  • Audio gear
  • Desk setup for video conferencing

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Setup your room and lighting for Telehealth

The Room

This may seem simple, but it can actually be quite challenging. The idea is to find a space in your home or apartment that has depth.

You want to avoid having a wall close behind your subject. Find a space where your background is at least 6-8 feet behind you.

Next, setup up an interesting background. This could include plants, shelving, or anything that doesn’t appear too distracting.

For ideas, look at how youtubers setup their home for video.


Do not use the lightbulb in your room as your lighting unless it is a LED lampshade. Regular room overhead lighting is unflattering. Cheap light bulbs can also cause flicker to be introduced into your video.

Lighting is more important than your room setup or video setup. Good lighting will make you look good with a poor quality video webcam.

Your key light or main light should be above your head slightly angled down. Most lights look nice angled 45 degrees from your body.

Budget lighting

The best looking and least expensive setup is window lighting. All you need is a window in your room with indirect sunlight and sheer curtains to soften the light.

For the next best option, I’d recommend the Sokani X60 V2 for $169 with a bowens mount soft box or umbrella.

What’s the best camera for Telehealth?

You may be using your iPad or iPhone right now, and honestly it’s not a terrible choice if you have good lighting.

To make your video pop a little more You need to add Bokeh. This will keep you in sharp focus and blur the background.

To do this, you need a decent camera and a lens with an aperture of 2.8 or wider. If using a full frame camera you can use an aperture as wide a f4.

The Camera

Sony a6100 or a5100

The sony a5100 is older but still works as an excellent video camera. You can usually get it used around $200. It has a flip screen, so you can see yourself and has face tracking autofocus.

You really don’t need anything better than this, but any other Sony, canon, or Nikon camera will work as long as you have an HDMI output.

If you have the money, get the Sony a6100. It has better autofocus and color. I personally use the Sony A7c.

The lens

The pergear lens is the cheapest option, and it provides great quality for the cost. It’s also manual focus only, hence the cost. If you decide you want a wider lens you might also go with the Samyang 18mm 2.8 for $279 or sigma 16mm 1.4.


  • tripod
  • Dummy battery for constant streaming $27

The best budget and pro microphone for Telehealth?

Budget option

Blue yeti $129

Best microphone and interface

Rode Procaster $229 and Evo 4 $129

Both of these microphones sound great, but if you want the Rode Procaster you will need an audio interface. The Procaster is the better mic if you want to reduce background noise.


Once you have the camera and lens just set the camera mode to video with video record settings set to 30p. Set your frame rate or shutter speed to 60 and iso and white balance to auto.

If you’re using a sony Camera you will need to have USB connection set to PC remote when streaming. The a5100 requires the camera to be in auto mode first and then set to film mode.

You can override this by purchasing a streaming stick. I got mine for $15 on amazon here. Any of the cheap capture cards seem to work pretty similar to the expensive ones.

The last step is to go to the HDMI settings and turn HDMI info display off. This will make sure your camera settings don’t show up in your conference feed.

If you want to live stream for longer than the battery will allow, you will need a dummy battery. The a5100 will stream until the battery dies and the only way to fix this is with a dummy battery.

You can pick up a dummy battery here for $27.

The perfect video setup for Telehealth

The problem of using an external camera is the people you are speaking with won’t see you looking at them unless you look at the camera.

If you have a laptop you can place the camera just above the screen to minimize this problem.

In my case I have an iMac, so it’s more difficult for camera placement. There’s a new feature called sidecar for the iPad, that allows me to share my iMac screen with my iPad. First you will need to enable sidecar.

After clicking on my iPad under the airplay tab, I can use it as an external display to place under my camera. See below.

Stack a few books underneath the iPad and you now have a monitor to see yourself, the conference caller, and your camera. This will also make it easy for the caller to see you.

Below are the before and after video screenshot with my iMac webcam and Sony camera.

Using audio and video to market your business

If you don’t need a telehealth setup, but you’re interested in marketing with social media check out Spakr Marketing. They also have a great article on video basics and how it can benefit your business.

I hope this guide helped you get a better idea of how to setup your audio and video for Telehealth. Sign up below to learn about our latest business workshops for your private practice.