Telehealth is a rapidly evolving technology for medical practice with new legislation requiring reimbursement in effect for Washington state. The Vancouver area area includes a large and diverse population. Some clients have difficulty attending the outpatient clinic for routine treatment due to traffic, winter weather, or family responsibiliies. This paper investigates the application of telehealth for clients interested in participating in this new technology for occupational therapy treatment. A presentation to therapists and management will highlight evidence-based guidelines for implementation of telehealth at a local facility.