As telehealth and virtual instruction in schools become commonplace, occupational therapy practitioners have the opportunity to apply their flexibility, adaptability, and unique skill set to serve students in schools, regardless of physical location. This text, the first in a series on telehealth by AOTA, acknowledges that telehealth is a critical part of school-based occupational therapy. It equips practitioners to effectively bridge the digital divide, ensure equitable access to services, determine whether telehealth is an appropriate fit, and work with caregivers for the best possible outcomes. CHAPTERS INCLUDE Chapter 1. Equity Considerations for Telehealth in Schools Chapter 2. Best Practices in Providing Telehealth to Support Participation in School Chapter 3. Telehealth Evaluation and Assessment in Schools Chapter 4. Supporting Student Self-Regulation in Telehealth Chapter 5. Implementing Interventions in Schools Through Telehealth Chapter 6. Coaching and Supporting Caregivers via Telehealth Appendixes-Telehealth in Occupational Therapy; Guidelines for Occupational Therapy in Early Intervention; Legal, Ethical, and Procedural Considerations Case examples illustrate how to apply content in realistic scenarios. Practical and evidence based, practitioners can immediately integrate information into their occupational therapy practice to support students and participation in school.